Stanka Pervitic

Primary specialty

PharmacistTaxonomy code 183500000X

License

03129258 Issued in OH

Practice address

4400 Euclid Ave
Cleveland, OH 44103-3734

Phone

(216) 325-9300

NPI assigned

Feb 7, 2018

Last updated

Feb 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tanja Pervitic Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1396244190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 LAKE AVE APT 108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021268",
            "telephone_number": "440-670-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033734",
            "telephone_number": "216-325-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVITIC",
        "first_name": "STANKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANJA",
            "last_name": "PERVITIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Personal Guardian Home Care LLC
• Personal Leasing Transportation Co.
• Marjie L Persons, MD
• Kristie M. Persson, LPCC-SUPV
• Muhammed Nabil Pervaiz, CPSA
• Gerhard Louis Perz, M.D.
• Holly B Perzy, MD, MMM
• Kylee Pesa, PA-C
• Nicholas Pesa, M.D.
• Jennifer Pesek, O.D.

• Pharmacist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.