Organization · Type 2 NPI

Medina Hospital

Clinic Pharmacy · Medina, OH

NPI number 1164855904 Active

Practice location

1000 E. Washington Str
Medina, OH 44256

Call (330) 721-5490 Map

Fax (330) 721-5495

Mailing address

9500 Euclid Avenue JJ10
Cleveland, OH 44195-2170

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	022335600 (OH)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

NPI record

NPI: 1164855904
Entity type: Organization (Type 2)
Issued: Aug 15, 2013
Last updated: Jan 7, 2025
Status: Active
Subpart: Yes of The Cleveland Clinic Foundation

Other names

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CCF Medina Ambulatory Pharmacy · doing business as
CCF Medina Ambulatory Pharmacy · doing business as

Authorized official

Tim Longville
Chief Accounting Officer
(216) 636-7416

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164855904

Medina Hospital's National Provider Identifier is 1164855904, issued on Aug 15, 2013. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Medina, OH. The record was last updated on Jan 7, 2025.