Healthcare Provider Details

I. General information

NPI: 1851216410
Provider Name (Legal Business Name): THE CLEVELAND CLINIC FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2083 E 89TH ST.
CLEVELAND OH
44106
US

IV. Provider business mailing address

9500 EUCLID AVE # JJ10
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-636-8750
  • Fax: 216-636-8751
Mailing address:
  • Phone: 216-444-6498
  • Fax: 216-445-0025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW D SODER
Title or Position: EXECUTIVE DIRECTOR - PHARMACY
Credential: RPH
Phone: 216-445-5614