THE CLEVELAND CLINIC FOUNDATION NPI 1518170323

NPI Information

  • NPI: 1518170323
  • Provider Name: THE CLEVELAND CLINIC FOUNDATION
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: CLEVELAND CLINIC NORTH COAST CANCER CARE PHARMACY
  • CLIA Number: 36D0344288
  • Address: 417 QUARRY LAKES DR
    SANDUSKY, OH
    ZIP 44870
  • Phone: (419) 609-2845

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NPI Details

THE CLEVELAND CLINIC FOUNDATION is a clinic pharmacy pharmacy in Sandusky, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. THE CLEVELAND CLINIC FOUNDATION NPI is 1518170323. The provider is registered as an organization entity type.
The provider Is Doing Business As Cleveland Clinic North Coast Cancer Care Pharmacy.

The provider's business location address is:

417 QUARRY LAKES DR
SANDUSKY, OH
ZIP 44870-635
Phone: (419) 609-2845
Fax: (419) 609-2869

The provider's authorized official is Tim Longville .
The authorized official title is Chief Accounting Officer and has the following contact phone number (216) 636-7416.

The CLIA number assigned to this NPI record is 36D0344288 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic Pharmacy022173000OHIOYes
23336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12734189MEDICAIDOHIO
22133727OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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