Healthcare Provider Details

I. General information

NPI: 1487176954
Provider Name (Legal Business Name): JULIE KAY CUMMINGS PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2017
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ROMBACH AVE
WILMINGTON OH
45177-1943
US

IV. Provider business mailing address

5560 DAVIS RD
JAMESTOWN OH
45335-9592
US

V. Phone/Fax

Practice location:
  • Phone: 937-655-5720
  • Fax:
Mailing address:
  • Phone: 937-604-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03237008
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03237008
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: