Active NPI
Natalya Gavrilyuk, PHARMD
- Pharmacist
- Mint Hill, NC
National Provider Identifier
1720497464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24302
- Practice address
- 4307 Wilgrove Mint Hill Rd
Mint Hill, NC 28227-3400 - Phone
- (704) 545-3420
- NPI assigned
- Aug 7, 2014
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24302 | NC | Primary |
Addresses
Primary practice location
4307 Wilgrove Mint Hill Rd
Mint Hill, NC 28227-3400
Mailing address
1014 Master Gunner CT
Indian Trail, NC 28079-3432
Phone (704) 930-8265
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24302 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1720497464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 MASTER GUNNER CT",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793432",
"telephone_number": "704-930-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4307 WILGROVE MINT HILL RD",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282273400",
"telephone_number": "704-545-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVRILYUK",
"first_name": "NATALYA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.