Active NPI
Zaklina Ivanovic
- Pharmacotherapy Pharmacist
- Munster, IN
National Provider Identifier
1558643072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26015989
- Practice address
- 8930 Calumet Ave
Munster, IN 46321-2802 - Phone
- (219) 513-0894
- NPI assigned
- Sep 10, 2011
- Last updated
- Sep 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26015989 | IN | Primary |
Addresses
Primary practice location
8930 Calumet Ave
Munster, IN 46321-2802
Mailing address
1641 White Oak Cir Apt 3B
Munster, IN 46321-3890
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015989 | IN | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1315612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315612800000",
"number": "1558643072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 WHITE OAK CIR APT 3B",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212802",
"telephone_number": "219-513-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANOVIC",
"first_name": "ZAKLINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-10",
"last_updated": "2011-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26015989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
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- Interventional Spine and Joint Specialists, LLC
- Interventional Spine and Pain Centers, LLC
- Wing Yee Ip, PHARMD
- Ivy Infusion Professional Nursing Services LLC
- J & J Rehab Providers Inc.
- J&J Home Health Care Inc
- Nabeel Jabri, M.D.
- Stephanie Jackson, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.