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WESTERN RESERVE HOSPITAL LLC NPI 1700024213


NPI Information

NPI: 1700024213
Provider Name: WESTERN RESERVE HOSPITAL, LLC

Former Legal Business Name: SUMMA WESTERN RESERVE HOSPITAL, LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D0339756

Address:
1900 23RD ST
CUYAHOGA FALLS, OH
ZIP 44223
Phone: (330) 971-7393
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WESTERN RESERVE HOSPITAL, LLC is a community/retail pharmacy pharmacy in Cuyahoga Falls, OH. The provider is 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. WESTERN RESERVE HOSPITAL, LLC NPI is 1700024213. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Summa Western Reserve Hospital, Llc.

The provider's business location address is:

1900 23RD ST
CUYAHOGA FALLS, OH
ZIP 44223-404
Phone: (330) 971-7393
Fax: (330) 971-7394

The provider's authorized official is Daniel Stratton .
The authorized official title is Pharmacy Manager and has the following contact phone number (330) 971-7393.

The CLIA number assigned to this NPI record is 36D0339756 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/5/2018.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy021965450OHIOYes
33336C0004XPharmacyCompounding 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
12120779OTHERPK
22964494MEDICAIDOHIO

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.