Healthcare Provider Details

I. General information

NPI: 1225940935
Provider Name (Legal Business Name): KIRSTEN SUMNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10685 CARNEGIE AVE
CLEVELAND OH
44106-3018
US

IV. Provider business mailing address

107 LAUREL RD
CHAGRIN FALLS OH
44022-3937
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-3475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03334493
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: