Kimberly Jo Novak, PHARMD, BCPS, BCPPS

Primary specialty

Pediatric PharmacistTaxonomy code 1835P0200X

License

03-02-26488 Issued in OH

Practice address

700 Childrens Dr
Department of Pharmacy
Columbus, OH 43205-2639

Phone

(614) 722-2199

Fax

(614) 722-2189

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1972170942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "address_2": "DEPARTMENT OF PHARMACY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052639",
            "telephone_number": "614-722-2199",
            "fax_number": "614-722-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "address_2": "DEPARTMENT OF PHARMACY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052639",
            "telephone_number": "614-722-2199",
            "fax_number": "614-722-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, BCPPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "KY",
            "license": "012413",
            "primary": false
        },
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "OH",
            "license": "03-02-26488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novah Healthcare Services, LLC
• Erin Novak, OTR/L, MOT
• Jennifer L Novak, MS, ATC
• Kathleen Novak
• Katie Lynne Novak, MSW, LISW-S, ACSW
• Lisa Christine Novak, CRNA
• Molly Patricia Novak
• Svetlana T Novak, M.D.
• Destiny Lashae Novakovic, PHD
• Maranatha Novihoho

• Pediatric Pharmacist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatric Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.