Healthcare Provider Details

I. General information

NPI: 1093276628
Provider Name (Legal Business Name): MEDCARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3029 SMITH RD STE 100
FAIRLAWN OH
44333-3364
US

IV. Provider business mailing address

3029 SMITH RD STE 100
FAIRLAWN OH
44333-3364
US

V. Phone/Fax

Practice location:
  • Phone: 330-960-1014
  • Fax: 330-960-1016
Mailing address:
  • Phone: 330-960-1014
  • Fax: 330-960-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. ZINKALBEN PATEL
Title or Position: OWNER
Credential:
Phone: 919-949-9810