Active NPI
Amy Kovalski
- Pharmacist
- Saint Clairsville, OH
National Provider Identifier
1154670974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03223236
- Practice address
- 104 Plaza Dr
Saint Clairsville, OH 43950-8736 - Phone
- (740) 695-0274
- Fax
- (740) 695-2412
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03223236 | OH | Primary |
| Pharmacist | 183500000X | RP0006337 | WV |
Addresses
Primary practice location
104 Plaza Dr
Saint Clairsville, OH 43950-8736
Mailing address
1159 State Route 150
Adena, OH 43901-7961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03223236 | OH | MD | Pharmacist |
| RP0006337 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riesbeck Food Markets, Inc. | Pharmacist | Past | Accepting new patients |
| Riesbeck Food Markets, Inc. | Pharmacist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1154670974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 STATE ROUTE 150",
"city": "ADENA",
"state": "OH",
"postal_code": "439017961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PLAZA DR",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439508736",
"telephone_number": "740-695-0274",
"fax_number": "740-695-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALSKI",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03223236",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clairsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.