Active NPI
Delores Anne Kovacs, R.PH.
- Ambulatory Care Pharmacist
- Ashland, OH
National Provider Identifier
1215527437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 03318706
- Practice address
- 418 E Main St
Ashland, OH 44805-2550 - Phone
- (419) 281-0525
- Fax
- (419) 281-8653
- NPI assigned
- Jan 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03318706 | OH | |
| Ambulatory Care Pharmacist | 1835P2201X | 03-3-18706 | OH | |
| Ambulatory Care Pharmacist | 1835P2201X | 03318706 | OH | Primary |
Addresses
Primary practice location
418 E Main St
Ashland, OH 44805-2550
Mailing address
4675 Bellville North Rd
Bellville, OH 44813-8951
Phone (419) 982-5012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03318706 | Other | OH | OHIO STATE BOARD OF PHARMACY |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03318706 | OH | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1215527437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 BELLVILLE NORTH RD",
"city": "BELLVILLE",
"state": "OH",
"postal_code": "448138951",
"telephone_number": "419-982-5012",
"fax_number": "419-281-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E MAIN ST",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448052550",
"telephone_number": "419-281-0525",
"fax_number": "419-281-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "DELORES",
"middle_name": "ANNE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318706",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OH",
"license": "03-3-18706",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OH",
"license": "03318706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHARMACY",
"identifier": "03318706",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.