SUPERIOR HEALTH CENTER PHARMACY
NPI 1659407682
Pharmacy - Clinic Pharmacy in Cleveland, OH

Q: What is Northeast Ohio Neighborhood Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since February 26, 2007CLIA 36D0335908 · Microscopy

12100 SUPERIOR AVE, CLEVELAND, OH 44106(216) 851-2600 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Superior Health Center Pharmacy NPPES

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

SUPERIOR HEALTH CENTER PHARMACY (NPI 1659407682) is a healthcare organization registered as a clinic pharmacy in Cleveland, Ohio and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 17, 2027 and lists Willie F. Austin, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1659407682

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameNORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.

Location Address12100 SUPERIOR AVECleveland, OH 44106-1444

Mailing Address12100 Superior AveCleveland, OH 44106-1444 · (216) 851-2600

Phone(216) 851-2600

Organization SubpartNo

Authorized OfficialWillie F. AustinPresident & Ceo · (216) 231-7700

Enumeration DateFebruary 26, 2007

Last NPPES UpdateMay 29, 2008

✔ NPI 1659407682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in OH · 3653210

Definition

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

12100 SUPERIOR AVE, Cleveland, OH 44106

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Other Names 1

Other NameSuperior Health Center Pharmacy

Other Identifiers 3

Medicaid0154863OH

Other=========-06OH · Bwc Pharmacy

Medicare ID-Type UnspecifiedNO3618361OH

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0335908

Superior Health Center Laboratory · Cleveland, OH

Active · expires Apr 17, 2027

CLIA Number36D0335908

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 18, 2025

Certificate Expiration DateApril 17, 2027

Laboratory DirectorJerome M. Williams

Laboratory Phone(216) 231-7700

Laboratory LocationSuperior Health Center Laboratory12100 Superior Ave, Cleveland, OH 44106

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

BRITTNI MONTGOMERY LISW

Social Worker (Clinical)