The Cleveland Clinic Foundation
Clinic Pharmacy
417 Quarry Lakes Dr, Sandusky
Ohio, 44870-8635
419-609-2845 419-609-2869
The Cleveland Clinic Foundation is an authorized DME supplier for medicare equipments and products.
The Cleveland Clinic Foundation is a Clinic Pharmacy in Sandusky, Ohio. It is located at 417 Quarry Lakes Dr, Sandusky and it's customer support contact number is 419-609-2845. The authorized person of The Cleveland Clinic Foundation is Tim Longville who is Chief Accounting Officer of the pharmacy and his contact number is 216-636-7416. Active license number of The Cleveland Clinic Foundation is 022173000 for Clinic Pharmacy in Ohio. The Cleveland Clinic Foundation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The Cleveland Clinic Foundation 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.
Pharmacy Details:
The Cleveland Clinic Foundation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | The Cleveland Clinic Foundation |
| Type: | Clinic Pharmacy |
| Location: | 417 Quarry Lakes Dr, Sandusky, Ohio, 44870-8635 |
| Phone: | 419-609-2845 |
| Fax: | 419-609-2869 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tim Longville |
| Position: | Chief Accounting Officer |
| Contact Number: | 216-636-7416 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518170323 |
| NPI Enumeration Date: | 08 May, 2007 |
| NPI Last Update On: | 07 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Cleveland Clinic Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 022173000 | Ohio | Primary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2734189 | Medicaid | Ohio | |
| 2133727 | Other | | Pk |
Medicare Enrollment:
The Cleveland Clinic Foundation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1850203555 | O20120606000526 | The Cleveland Clinic Foundation | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9500 Euclid Ave, Jj10 Cleveland, Ohio |
| Zip: | 44195-0001 |
| Phone Number: | 419-609-2845 |
| Fax Number: | 419-609-2869 |
Patients can reach The Cleveland Clinic Foundation at
417 Quarry Lakes Dr, Sandusky, Ohio or can
call on customer care at 419-609-2845.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.