Individual provider Active NPI

Dave A Borovicka

  • Pharmacist
  • Cleveland, OH
National Provider Identifier
1508460874
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-2-19357 Issued in OH
Practice address
2007 Brookpark Rd
Cleveland, OH 44109-5813
Phone
(216) 351-2944
Fax
(216) 749-3983
NPI assigned
Nov 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-2-19357 OH Primary

Addresses

Primary practice location

2007 Brookpark Rd
Cleveland, OH 44109-5813

Mailing address

18351 Brick Mill Run
Strongsville, OH 44136-7149
Phone (440) 666-8015

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

NPI Registry JSON

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1508460874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18351 BRICK MILL RUN",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367149",
            "telephone_number": "440-666-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095813",
            "telephone_number": "216-351-2944",
            "fax_number": "216-749-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROVICKA",
        "first_name": "DAVE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-19357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.