Korman LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y003805 Issued in AZ

Legal business name

KORMAN LLC

Doing business as

Korman Healthcare Pharmacy

Practice address

5787 W Erie St
Chandler, AZ 85226-2749

Phone

(480) 365-0222

Fax

(480) 365-0221

NPI assigned

Jul 7, 2005

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Burton Korer

Title

Manager

Phone

(480) 365-0222

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• KORMAN HEALTHCARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A McKee, RPH

  • Pharmacist
  • Chandler, AZ
  • NPI 1962081802
  NPD
• Jill Prell, PHARM D.

  • Pharmacist
  • Chandler, AZ
  • NPI 1861308751
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1437157104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 W ERIE ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262749",
            "telephone_number": "480-365-0222",
            "fax_number": "480-365-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 W ERIE ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262749",
            "telephone_number": "480-365-0222",
            "fax_number": "480-365-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "KORER",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-365-0222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y003805",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991733",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KORMAN HEALTHCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Kenji Komenaka, MD
• Kathyayini J Konuru, MD
• Sonya Kay Kooima, PNP
• Trudy Anne Kopas, OTR
• Jeff M Korab, DPM
• Korman LLC (Korman Healthcare)
• Jennifer L Korman, MA ED
• Kennedy Koshman
• Kassandra Jean Kosinski Romero, M.D.
• Brooke Kosten, FNP-C

• Long Term Care Pharmacy in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.