Healthcare Provider Details

I. General information

NPI: 1649112939
Provider Name (Legal Business Name): CLEVELAND PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 E ALMOND AVE STE 102
MADERA CA
93637-5748
US

IV. Provider business mailing address

483 E ALMOND AVE STE 102
MADERA CA
93637-5748
US

V. Phone/Fax

Practice location:
  • Phone: 559-395-4127
  • Fax: 559-517-3646
Mailing address:
  • Phone: 559-395-4127
  • Fax: 559-517-3646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED ELSAYED
Title or Position: CEO
Credential:
Phone: 559-395-4127