Provider Demographics
NPI:1225435597
Name:RAKESH RANJAN MD & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:RAKESH RANJAN MD & ASSOCIATES, INC.
Other - Org Name:CCHW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANJAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-375-9897
Mailing Address - Street 1:12395 MCCRACKEN RD STE H
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2946
Mailing Address - Country:US
Mailing Address - Phone:216-375-9897
Mailing Address - Fax:844-887-5003
Practice Address - Street 1:12395 MCCRACKEN RD STE A-UP (ROOM C)
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:216-504-3646
Practice Address - Fax:216-332-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X, 3336C0003X, 3336L0003X
OH0224376503336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2149009OtherPK