Cory Albert Simonavice, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

003334488 Issued in OH

Practice address

201 Chamber Dr
Milford, OH 45150-2516

Phone

(513) 248-4289

NPI assigned

Oct 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1720688690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 DRYDEN AVE APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131739",
            "telephone_number": "314-630-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHAMBER DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502516",
            "telephone_number": "513-248-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONAVICE",
        "first_name": "CORY",
        "middle_name": "ALBERT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "021104",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "003334488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Silvers
• Scott Ivan Silverstein, DDS,MS
• Melanie Leigh Simekha, OT
• Michele C Simms, APRN,FNP-C
• Mathew J Simon, DO
• Beatrice Sinclair-Douglas
• Mark Steven Sipe
• Stephanie Skinner, LPCC-S
• Daniel Slone, CPRS
• Alexis Smith

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Milford, OH
• Providers in Milford, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.