Provider Demographics
NPI:1295954931
Name:AKRON GENERAL MEDICAL CENTER
Entity type:Organization
Organization Name:AKRON GENERAL MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR, PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CAPPO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-344-6159
Mailing Address - Street 1:224 W EXCHANGE ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1704
Mailing Address - Country:US
Mailing Address - Phone:330-344-6159
Mailing Address - Fax:330-996-2395
Practice Address - Street 1:224 W EXCHANGE ST
Practice Address - Street 2:SUITE 180
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1704
Practice Address - Country:US
Practice Address - Phone:330-344-6159
Practice Address - Fax:330-996-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36-57030OtherNABP (PHARMACY NUMBER)
OHBA3430294OtherDEA NUMBER
OHBA3430294OtherDEA NUMBER