OrganizationActive
Church Square Pharmacy Inc.
NPI 1376716464 · Community/Retail Pharmacy · Cleveland, OH
Provider details
- NPI number
- 1376716464
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Abdel Abukhalil, Pharmacist(216) 288-0557
- License
- 021802000 (OH)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1956 E 79th St
Cleveland, OH 44103-4270
Phone: (216) 721-1772
Fax: (216) 721-1778
Street-level locationGet directions
Mailing address
14529 Puritas Ave
Cleveland, OH 44135-2813
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2025-05-09
- Certified
- 2025-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.