Anna Ivanovna Lavotchin, PHARMD

Key facts

NPI

1043734767

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

37297 (SC)

Practice address

820 N Main St
Woodruff, SC 29388-9001

Phone

(864) 476-0463

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• South Carolina CVS Pharmacy LLC Pharmacy · Woodruff, SC · NPI 1093018228
  NPD (past)
• South Carolina CVS Pharmacy LLC Pharmacy · Indian Land, SC · NPI 1174406573
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2017.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1043734767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EARLEIGH CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296811982",
            "telephone_number": "864-915-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MAIN ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889001",
            "telephone_number": "864-476-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOTCHIN",
        "first_name": "ANNA",
        "middle_name": "IVANOVNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "37297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, SC

• Lyubov Ivanovna Khmaruk
• Mark Stephen Knight, B.C.B.A., N.C.C.
• Patricia Schmidt Knight, R.N.
• Diane Lamb, RN
• Virginia Lanier, M.A. ABA, BCBA
• John Ervin Leonard, R.PH
• Kayla Lilly
• Megan Sumner Lineberger
• Little Light of Mine Counseling & Community Services, LLC
• Lower Piedmont Rescue Squad

All providers in Woodruff, SC · Pharmacist in South Carolina