Jacklyn Marie Kornokovich, RPH, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

03230371 Issued in OH

Practice address

1112 Pearl Rd
Brunswick, OH 44212-2887

Phone

(330) 225-1555

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1063004620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122887",
            "telephone_number": "330-225-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122887",
            "telephone_number": "330-225-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNOKOVICH",
        "first_name": "JACKLYN",
        "middle_name": "MARIE",
        "credential": "RPH, PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Kontra
• John Gerard Kontra
• Tom W Kontra, RN
• James Koopman, M.A. SLP
• Rammy Korkor, MD
• Olivia Kotlarz
• Aleksandra Kovacevic
• Michael Joseph Kowalczyk, PHARMD
• Mary Kozik, D.C.
• Therese Marie Krall

• Pharmacist in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.