DOUGLAS CORNELIUS (NPI# 1700422524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700422524 |
| Entity Type | Individual |
| Full Name | DOUGLAS CORNELIUS |
| Credential | RPH |
| Practice Address |
4435 Kauffman Rd Plain City OH 43064-9235 |
| Practice Telephone | 6147199066 |
| Mailing Telephone | 6147199066 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
19370 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588631204 | Douglas Cornelius | Anesthesiology | 1233 N 30th St, Billings, MT 59101-0127 | 2006-03-01 |
| Street Address |
4435 KAUFFMAN RD |
| City | PLAIN CITY |
| State | OH |
| Zip Code | 43064-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386098143 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7300 Sr 161, Plain City, OH 43064 | 2016-04-19 |
| 1043664808 | Costco Wholesale Corporation | Pharmacy | 7300 State Route 161 E, Plain City, OH 43064 | 2016-04-19 |
| 1346600855 | Meng Tong | Dentist | 7458 State Route 161 E, Plain City, OH 43064 | 2016-02-25 |
| 1912300302 | Precision Labs, LLC | Clinical Medical Laboratory | 8150 Us Highway 42 N, Plain City, OH 43064 | 2014-09-30 |
| 1477977783 | Kim Barrett | Occupational Therapist | 9200 Us Route 42 S, Plain City, OH 43064 | 2014-02-06 |
| 1689095242 | Debra Wilcox | Registered Nurse | 8150 State Route 42, Suite B, Plain City, OH 43064 | 2013-12-30 |
| 1457657512 | Township of Jerome | Ambulance | 9689 Us Rt 42 North, Plain City, OH 43064 | 2011-02-07 |
| 1558690503 | Edgewater Place, Inc. | Assisted Living Facility | 11351 Lafayette Plain City Road, Plain City, OH 43064 | 2009-12-21 |
| 1841230075 | Advanced Eyecare & Sports Vision Center, Inc. | Optometrist | 302 West Main St., Ste 100, Plain City, OH 43064 | 2006-06-07 |
| 1255988473 | Morgan Oates | Speech-Language Pathologist | 9200 Us Route 42 S, Plain City, OH 43064 | 2019-08-22 |
| Find all providers in zip 43064 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | PLAIN CITY |
| Zip Code | 43064 |
Please comment or provide details below to improve the information on DOUGLAS CORNELIUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.