Charles Patrick Kornokovich

Primary specialty

PharmacyTaxonomy code 333600000X

Practice address

500 S Water St
Kent, OH 44240-3548

Phone

(330) 678-4009

NPI assigned

Aug 22, 2023

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1295519023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E SHORE BLVD",
            "city": "TIMBERLAKE",
            "state": "OH",
            "postal_code": "440951905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403548",
            "telephone_number": "330-678-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNOKOVICH",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Cathrine Kolman I
• Michael Joseph Konczal, BA, MS
• Alexis Konecek
• Christopher John Konieczko
• Victor Y Kopyev, M.D.
• Gerald Thomas Korty, DO
• Sarah Korzan, PHD, RDN
• Steven Kost
• Colin Kovacs
• Carol Ann Kovalak Martin, DDS

• Pharmacy in Kent, OH
• Providers in Kent, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.