Individual provider Active NPI

Marc L. Lipovitch, PHARM.D

  • Pharmacist
  • Cave Creek, AZ
National Provider Identifier
1225363500
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
SO13235 Issued in AZ
Practice address
29455 N Cave Creek Rd
Cave Creek, AZ 85331-3245
Phone
(480) 538-7132
Fax
(480) 538-7134
NPI assigned
Oct 5, 2009
Last updated
Oct 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X SO13235 AZ Primary

Addresses

Primary practice location

29455 N Cave Creek Rd
Cave Creek, AZ 85331-3245

Mailing address

29455 N Cave Creek Rd
Cave Creek, AZ 85331-3245
Phone (480) 538-7132

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
SO13235AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiths Food & Drug Centers Inc Past Accepting new patients
Smith's Food & Drug Centers Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1225363500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29455 N CAVE CREEK RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313245",
            "telephone_number": "480-538-7132",
            "fax_number": "480-538-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29455 N CAVE CREEK RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313245",
            "telephone_number": "480-538-7132",
            "fax_number": "480-538-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPOVITCH",
        "first_name": "MARC",
        "middle_name": "L.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "SO13235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.