Individual provider Active NPI

Anthony Wayne Korte, RPH

  • Pharmacist
  • North Olmsted, OH
National Provider Identifier
1801470604
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03114716 Issued in OH
Practice address
4591 Martin Dr
North Olmsted, OH 44070-2423
Phone
(440) 263-6170
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03114716 OH Primary

Addresses

Primary practice location

4591 Martin Dr
North Olmsted, OH 44070-2423

Mailing address

4591 Martin Dr
North Olmsted, OH 44070-2423
Phone (440) 263-6170

Other identifiers 1

IdentifierTypeStateIssuer
FT0789466OtherOHPHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL acme Direct

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

State licenses

LicenseStateTypeSpecialty
03114716OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1801470604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 MARTIN DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702423",
            "telephone_number": "440-263-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 MARTIN DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702423",
            "telephone_number": "440-263-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTE",
        "first_name": "ANTHONY",
        "middle_name": "WAYNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03114716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "FT0789466",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "acme",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4591 Martin Dr",
            "city": "North Olmsted",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440702423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.