# COMMUNITY CARE NETWORK INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY CARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033296363
- **Authorized official:** RAY MYERS RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (216) 283-3865

## Contact information

- **Practice address:** 3167 FULTON RD STE 111, CLEVELAND, OH 44109-1465
- **Practice address phone:** (216) 283-3865
- **Practice address fax:** (216) 651-1590
- **Mailing address:** 3167 FULTON RD, STE. 111, CLEVELAND, OH 44109-1465
- **Mailing address phone:** (216) 283-3865
- **Mailing address fax:** (216) 651-1590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 02154695003 | OH | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 11/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2080327 | PK | — |
| 05 | — | 2586607 | — | OH |