Elaina Nicole Garvonic, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302413085 Issued in MI

Practice address

5990 Sashabaw Rd
Clarkston, MI 48346-3154

Phone

(248) 922-3704

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

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.

• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)
• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Clarkston, MI
  • NPI 1902830771
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1437745593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46830 GADWALL DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443209",
            "telephone_number": "865-738-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463154",
            "telephone_number": "248-922-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVONIC",
        "first_name": "ELAINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5315221771",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302413085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Garchow, LCSW
• Kelsiana Rose Gardella, RBT
• Jordyn Nicole Gardner, CMSSW
• Kenzie Gardner, NP
• Jonathan G Garretson, O.D.
• Garwood Associates L L C
• Stanley B. Garwood Jr., MSW LMSW
• Stephanie Gaumer, LMSW
• Katie Marie Gauthier, PA-C
• Attlah Gentry, LMSW

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.