Active NPI
Dave A Borovicka
- Pharmacist
- Cleveland, OH
National Provider Identifier
1508460874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-2-19357
- 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
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 | 03-2-19357 | 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.