Active NPI
Kory John Cummings, PHARMD
- Pharmacist
- West Lafayette, IN
National Provider Identifier
1811652126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029300A
- Practice address
- 2636 US Highway 52 W
West Lafayette, IN 47906-5511 - Phone
- (765) 637-4210
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 26029300A | IN | Primary |
Addresses
Primary practice location
2636 US Highway 52 W
West Lafayette, IN 47906-5511
Mailing address
1920 Northwestern Ave Apt 306
West Lafayette, IN 47906-2059
Phone (765) 490-4768
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26029300A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Lafayette, IN
- NPI 1285737791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1811652126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NORTHWESTERN AVE APT 306",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479062059",
"telephone_number": "765-490-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 US HIGHWAY 52 W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479065511",
"telephone_number": "765-637-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "KORY",
"middle_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029300A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.