Active NPI
Charles John Zimomra, R. PH
- Pharmacist
- Cambridge, OH
National Provider Identifier
1356354773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-3-18346
- Practice address
- 1300 Clark St
Cambridge, OH 43725-8875 - Phone
- (740) 255-8444
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-3-18346 | OH | Primary |
Addresses
Primary practice location
1300 Clark St
Cambridge, OH 43725-8875
Mailing address
2499 Cambridge Rd
Coshocton, OH 43812-9134
Phone (740) 623-3783
Other practice location 1
830 S 2nd St
Coshocton, OH 43812-1916
Phone (740) 622-4028
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1356354773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 CAMBRIDGE RD",
"city": "COSHOCTON",
"state": "OH",
"postal_code": "438129134",
"telephone_number": "740-623-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CLARK ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437258875",
"telephone_number": "740-255-8444"
}
],
"practiceLocations": [
{
"address_1": "830 S 2nd St",
"address_purpose": "LOCATION",
"city": "Coshocton",
"state": "OH",
"postal_code": "438121916",
"country_code": "US",
"telephone_number": "740-622-4028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMOMRA",
"first_name": "CHARLES",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "R. PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-18346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.