Anthony David Carvitti, PHARMD

Key facts

NPI

1497035968

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

03129695 (OH)

Practice address

512 Green Blvd
Aurora, IN 47001-1502

Phone

(812) 926-3424

Fax

(812) 926-3451

NPI assigned

Aug 27, 2011

Sex

Male

Sole proprietor

Yes

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.

• Walgreen Co Pharmacy · Aurora, IN · NPI 1376563965
  NPD (past)
• Walgreen Co Pharmacy · Longview, TX · NPI 1629956545
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 30, 2012.

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1497035968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 VAIL CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452474303",
            "telephone_number": "513-236-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 GREEN BLVD",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470011502",
            "telephone_number": "812-926-3424",
            "fax_number": "812-926-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVITTI",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-27",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129695",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023944A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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