# THE CLEVELAND CLINIC FOUNDATION

> 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:** Cleveland Clinic Independence Ambulatory Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033549712
- **Authorized official:** TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
- **Authorized official phone:** (216) 636-7416

## Contact information

- **Practice address:** 5001 ROCKSIDE RD, CROWN CENTER \#2, INDEPENDENCE, OH 44131-2172
- **Practice address phone:** (216) 986-4610
- **Practice address fax:** (216) 445-0025
- **Mailing address:** 9500 EUCLID AVE JJ10, CLEVELAND, OH 44195
- **Mailing address phone:** (216) 445-2357
- **Mailing address fax:** (216) 445-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022360800 | OH | Yes |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 01/07/2025