Diana Kovacevic, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03157700 Issued in NJ

Practice address

2093 Route 130 N
Burlington, NJ 08016-9748

Phone

(609) 499-5781

Fax

(609) 499-5786

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1467561803
  NPD (past)
• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Burlington, NJ
  • NPI 1659481331
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1972877181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 ROUTE 130 N",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080169748",
            "telephone_number": "609-499-5781",
            "fax_number": "609-499-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 ROUTE 130 N",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080169748",
            "telephone_number": "609-499-5781",
            "fax_number": "609-499-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACEVIC",
        "first_name": "DIANA",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03157700",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03328965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094242",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce J Kitching, OT
• Victoria Kleiman, RBT
• Gary Klein, PTA
• Zane Klimek
• Antonea Kouassi, LPN
• Janet Kporjro, LPN
• Tina Danielle Krajnikovich, CRNP
• Heather Krawsek, RD, RDN
• Renai Kraytem, LCSW
• Fleta Krebs, LPN

• All providers in Burlington, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.