ST VINCENT CHARITY MEDICAL CENTER (NPI# 1962566844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962566844 |
| Entity Type | Organization |
| Organization Name | ST VINCENT CHARITY MEDICAL CENTER |
| Other Organization Name | ST VINCENT CHARITY MEDICAL CENTER PHARMACY |
| Practice Address |
2351 E 22nd St Cleveland OH 44115-3111 |
| Practice Telephone | 2168616200 |
| Mailing Telephone | 2168616200 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | MR. JOHN RUSNACZYK (CFO) |
| Authorized Official Telephone | 2163637718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3009523 | 05 | |
| OH | 7649709 | 05 |
| Other Name | Type Code |
|---|---|
| St Vincent Charity Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053682690 | St Vincent Charity Medical Center | General Acute Care Hospital | 1700 E 13th St Apt 21x, Cleveland, OH 44114-3223 | 2012-01-12 |
| 1083637912 | St Vincent Charity Medical Center | Rehabilitation, Substance Use Disorder Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-07-25 |
| 1154395820 | St Vincent Charity Medical Center | Psychiatric Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-17 |
| 1710951801 | St Vincent Charity Medical Center | General Acute Care Hospital | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-15 |
| 1942274840 | St Vincent Charity Medical Center | Clinic/Center | 2475 E 22nd St, Suite 310, Cleveland, OH 44115-3221 | 2006-02-15 |
| Street Address |
2351 E 22ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1679186894 | Francisco J Somoza-cano | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-27 |
| 1992317879 | Patil Sarkis Balozian | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-20 |
| 1205448800 | Faris Hammad | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-17 |
| 1043820525 | Mohamad H E Alsaed | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-09 |
| 1245849892 | Mohammad Haidous | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-29 |
| 1982212593 | David Perse Md, LLC | Surgery | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1659989275 | Jeremy Perse, Dpm, LLC | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1356969281 | Krista Michelle Wong | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-07 |
| 1538785233 | Sanjul Prakash Patel | Student in an Organized Health Care Education/Training Program | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123576 | Prasanna LLC | Pharmacy | 200 E Boothe St Ste 103, Cleveland, TX 77327-4063 | 2020-08-09 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1841854270 | Mps Pharmacy LLC | Pharmacy | 112 S College Ave Ste 100, Cleveland, TX 77327-4502 | 2019-05-01 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1548713175 | Najjar Rx Inc. | Pharmacy | 6630 Broadway Ave, Cleveland, OH 44105-1310 | 2016-08-01 |
| 1609246081 | Param Santosh LLC | Pharmacy | 3114 Clark Ave, Cleveland, OH 44109-1146 | 2015-09-29 |
| 1346674900 | Asia Plaza Pharmacy LLC | Pharmacy | 2999 Payne Ave Ste 130, Cleveland, OH 44114-4436 | 2013-08-30 |
| 1477806065 | Cooke Food Store Inc | Pharmacy | 2010 Broomfield Rd Se, Cleveland, TN 37323-3301 | 2012-10-19 |
| 1477832822 | The Centers for Families and Children Pharmacy # 2 | Pharmacy | 3929 Rocky River Dr Ste P-101, Cleveland, OH 44111-4153 | 2011-08-16 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.