Individual provider Active NPI

Anita E Dravininkas, B.S. PHARMACY

  • Pharmacist
  • Valparaiso, IN
National Provider Identifier
1376865170
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26014258 Issued in IN
Practice address
52 Lincolnway
Valparaiso, IN 46383-5574
Phone
(219) 462-4146
Fax
(855) 240-8794
NPI assigned
Feb 19, 2010
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26014258 IN Primary

Addresses

Primary practice location

52 Lincolnway
Valparaiso, IN 46383-5574

Mailing address

52 Lincolnway
Valparaiso, IN 46383-5574
Phone (219) 462-4146

Other practice location 1

2801 Calumet Ave
Valparaiso, IN 46383-2605
Phone (219) 465-7153

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
26014258INMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gil Drug Co., Inc. PastSince Feb 7, 2021 Accepting new patients
Gil Drug Co Inc PastSince Feb 7, 2021 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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1376865170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835574",
            "telephone_number": "219-462-4146",
            "fax_number": "855-240-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835574",
            "telephone_number": "219-462-4146",
            "fax_number": "855-240-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832605",
            "country_code": "US",
            "telephone_number": "219-465-7153",
            "fax_number": "219-464-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAVININKAS",
        "first_name": "ANITA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26014258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.