Irina Minkovich, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP044280L Issued in PA

Practice address

9977 Bustleton Ave
Philadelphia, PA 19115-1557

Phone

(215) 677-0100

NPI assigned

Mar 28, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• I & L Express Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1568580603
  NPD Authorized official
• Imperial Pharmacy LLC

  dba imperial pharmacy

  • Pharmacy
  • Hallandale Beach, FL
  • NPI 1295381812
  NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568581189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151557",
            "telephone_number": "215-677-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151557",
            "telephone_number": "215-677-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKOVICH",
        "first_name": "IRINA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044280L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP044280L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Minissale
• Joseph Minissale
• Mink Angel LLC
• Jonah Mink, MD
• Jennifer Minkin, PSY.D.
• Andy J Minn, M.D.
• Madison Ann Minnick, PA-C
• Edoris Minnis
• Nancy Lara Minniti, PSY.D.
• Pantea Parsa Minnock, RN, CPNP

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.