Kevin Pavlik, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH5877 Issued in ND

Practice address

1950 32ND Ave S
Grand Forks, ND 58201-6656

Phone

(701) 746-8643

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1336674324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 32ND AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016656",
            "telephone_number": "701-746-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 32ND AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016656",
            "telephone_number": "701-746-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "KEVIN",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Patel, CASE MANAGER
• Emma Patzer, RDN
• Brenda Helen Pauley Colter, OTR L
• Jody Lynn Paulson, M.S. CCC-SLP
• Rolf R Paulson, MD
• Sharyl Payne
• Christal Peabody
• Courtney Marie Peabody, FNP-BC
• Peace and Care LLC
• Ron R. Peck, BA

• Pharmacist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.