Active NPI
Lyubov Khvan
- Pharmacist
- Orange Park, FL
National Provider Identifier
1659788610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52053
- Practice address
- 609 Kingsley Ave
Orange Park, FL 32073-5443 - Phone
- (904) 213-8083
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS52053 | FL | Primary |
Addresses
Primary practice location
609 Kingsley Ave
Orange Park, FL 32073-5443
Mailing address
609 Kingsley Ave
Orange Park, FL 32073-5443
Phone (904) 213-8083
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 |
|---|---|---|---|
| PS52053 | FL | MD | 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": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1659788610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735443",
"telephone_number": "904-213-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735443",
"telephone_number": "904-213-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHVAN",
"first_name": "LYUBOV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.