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CHURCH SQUARE PHARMACY INC.
NPI 1376716464
Pharmacy - Community/Retail Pharmacy in Cleveland, OH

Active since April 09, 2008
1956 E 79TH ST, CLEVELAND, OH 44103(216) 721-1772(216) 721-1778 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Oct 21, 2021 (2 updates tracked since 2021).

About Church Square Pharmacy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHURCH SQUARE PHARMACY INC. (NPI 1376716464) is a healthcare organization registered as a community/retail pharmacy in Cleveland, Ohio and active in the NPI registry since April 2008. The organization lists Abdel Abukhalil, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1376716464
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCHURCH SQUARE PHARMACY INC.
Location Address1956 E 79TH STCleveland, OH 44103-4270
Mailing Address14529 Puritas AveCleveland, OH 44135-2813 · (216) 721-1772 · Fax (216) 721-1778
Phone(216) 721-1772
Fax(216) 721-1778
Organization SubpartNo
Authorized OfficialAbdel AbukhalilPharmacist · (216) 288-0557
Enumeration DateApril 9, 2008
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1376716464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OH · 021802000
Definition
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.
1956 E 79TH ST, Cleveland, OH 44103
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Other Identifiers 1

Medicaid2824331OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Church Square Pharmacy carries, from the Medicare DMEPOS supplier directory.

Church Square Pharmacy

DMEPOS supplier · Cleveland, OHOperated by Church Square Pharmacy Inc.
⋮

Does not accept Medicare assignment

Church Square Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20548151
Medicare Participant SinceSeptember 30, 2009
Supplier Location7905 Euclid AveCleveland, OH 44103
Phone(216) 721-1772
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN SROKA FNP-C
Nurse Practitioner
1956 E 79TH ST
CLEVELAND, OH 44103
Cuyahoga County (714) 625-5603
MATTHEW JONES
Nurse Practitioner (Family)
1956 E 79TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 431-3733
CHURCH SQUARE URGENT CARE LLC
Clinic/Center (Urgent Care)
1956 E 79TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 288-0557
HAGER ABDELHAY ELSHEEWY NP-C
Nurse Practitioner (Family)
1956 E 79TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 431-3733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Church Square Pharmacy Inc.'s NPI number?

The NPI number for Church Square Pharmacy Inc. is 1376716464. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Church Square Pharmacy Inc. located?

Church Square Pharmacy Inc. is located at 1956 E 79th St, Cleveland, OH 44103. The listed phone number is (216) 721-1772.

What is Church Square Pharmacy Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Church Square Pharmacy Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Church Square Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Church Square Pharmacy Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Church Square Pharmacy Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Church Square Pharmacy Inc. was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.