Active NPI
Svetlana Starikova, PHARMD
- Geriatric Pharmacist
- Greenville, SC
National Provider Identifier
1902116684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RP443508
- Practice address
- 3510 Augusta Rd
Greenville, SC 29605-1302 - Phone
- (864) 299-1600
- NPI assigned
- Oct 15, 2010
- Last updated
- Jun 12, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 03327271 | OH | |
| Geriatric Pharmacist | 1835G0303X | PH25529 | MA | |
| Geriatric Pharmacist | 1835G0303X | RP443508 | PA | Primary |
Addresses
Primary practice location
3510 Augusta Rd
Greenville, SC 29605-1302
Mailing address
130 Monique LN
Woodruff, SC 29388-8008
Phone (413) 626-6200
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 |
|---|---|---|---|
| PH25529 | MA | MD | Geriatric Pharmacist |
| 03327271 | OH | MD | Geriatric Pharmacist |
| RP443508 | PA | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dept of Veterans Affairs | Past | Accepting new patients |
Organizations & group practices 1
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": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1902116684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MONIQUE LN",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293888008",
"telephone_number": "413-626-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 AUGUSTA RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296051302",
"telephone_number": "864-299-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARIKOVA",
"first_name": "SVETLANA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "OH",
"license": "03327271",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MA",
"license": "PH25529",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP443508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.