Individual provider Active NPI

Iryna Klein, PHARMD

  • Pharmacist
  • Morehead City, NC
National Provider Identifier
1164019154
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
124992 Issued in MN
Practice address
5053 Hwy 70 W
Morehead City, NC 28557-4503
Phone
(651) 414-3882
Fax
(651) 414-3888
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 124992 MN Primary

Addresses

Primary practice location

5053 Hwy 70 W
Morehead City, NC 28557-4503

Mailing address

5053 Hwy 70 W
Morehead City, NC 28557-4503
Phone (252) 222-0288

Other names 1

  • Iryna Kovalenko Former name

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

LicenseStateTypeSpecialty
124992MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 10, 2023 Accepting new patients
Walgreen Co PastSince Dec 1, 2020 Accepting new patients
Walgreen Co PastSince Apr 17, 2022 Accepting new patients

Locations

5053 Hwy 70 W
Morehead City, NC 28557
Phone (252) 222-0288

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1164019154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 HWY 70 W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574503",
            "telephone_number": "252-222-0288",
            "fax_number": "252-222-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 HWY 70 W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574503",
            "telephone_number": "651-414-3882",
            "fax_number": "651-414-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "IRYNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRYNA",
            "last_name": "KOVALENKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.