Kimberly Kornokovich, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03319685 Issued in OH

Practice address

7796 Munson Rd
Mentor, OH 44060-3745

Phone

(440) 257-6258

Fax

(440) 209-9096

NPI assigned

Jan 30, 2012

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1083986699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7796 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603745",
            "telephone_number": "440-257-6258",
            "fax_number": "440-209-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7796 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603745",
            "telephone_number": "440-257-6258",
            "fax_number": "440-209-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNOKOVICH",
        "first_name": "KIMBERLY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03319685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Kofol
• Sandra Kolansinski, P.T.A.
• Matthew Koller
• Frank Gus Komar, DDS
• Mark K. Komar, MD
• Lisa Ann Kostansek, PCC-S, LCDC III
• Marianne. P. Kostiha, RN
• Erin Kay Kotkowski, PSYD
• Haitham J Kousa, M.D.
• Joanna M. Koutros, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.