Active NPI
Olga Gnatyuk, RPH
- Pharmacist
- Monroe, NC
National Provider Identifier
1265754782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17485
- Practice address
- 1993 Dickerson Blvd
Monroe, NC 28110-2795 - Phone
- (704) 225-9010
- Fax
- (704) 225-7179
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17485 | NC | Primary |
Addresses
Primary practice location
1993 Dickerson Blvd
Monroe, NC 28110-2795
Mailing address
1993 Dickerson Blvd
Monroe, NC 28110-2795
Phone (704) 225-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905539 | Medicaid | NC |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17485 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1265754782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1993 DICKERSON BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102795",
"telephone_number": "704-225-9010",
"fax_number": "704-225-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1993 DICKERSON BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102795",
"telephone_number": "704-225-9010",
"fax_number": "704-225-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNATYUK",
"first_name": "OLGA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0905539",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
- Jacqueline Giron-Diaz
- Connie Givens, LCAS
- Tammy Robinson Glass, PHARMD
- L'Oreal Carson Dunn Glenn, LCSW
- Leary Glover, RN
- Godel & Associates IV PLLC (Monroe Pediatric Dentistry and Orthodontics)
- Stefanie Irene Goldman, MSW, LCSW
- Catherine Gomez Mendez, LCSWA
- Alexis Gonzalez
- Shantivia Boneparte Goodwin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.