Active NPI
Lina Viktorovna Ivanov, PHARMD
- Pharmacist
- Candler, NC
National Provider Identifier
1356837140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27846
- Practice address
- 1572 Sand Hill Rd
Candler, NC 28715-0228 - Phone
- (828) 665-4976
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 27846 | NC | Primary |
Addresses
Primary practice location
1572 Sand Hill Rd
Candler, NC 28715-0228
Mailing address
19A Coleman St
Weaverville, NC 28787-9438
Phone (828) 337-9636
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Candler, NC
- NPI 1598149635
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1356837140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19A COLEMAN ST",
"city": "WEAVERVILLE",
"state": "NC",
"postal_code": "287879438",
"telephone_number": "828-337-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1572 SAND HILL RD",
"city": "CANDLER",
"state": "NC",
"postal_code": "287150228",
"telephone_number": "828-665-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANOV",
"first_name": "LINA",
"middle_name": "VIKTOROVNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candler, NC
- Institute for Applied Neuroscience
- Integrity - Candler Living Center, LLC
- Integrity - Hominy Valley, LLC
- Integrity-Candler Living Center, LLC
- Integrity-Hominy Valley, LLC
- J. Merrell, D.D.S., P.L.L.C.
- Jacob Lawrence LCSW Lcas PLLC
- Brandon Russell Jochum, FNP
- Alexander Owen Johnson, MD
- Julian Anthony Crowder, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.