DR. KEVIN PAUL EVANCIC


Address: 1960 S 16th St, Wilmington, NC 28401-6647
Phone: 9107631896

DR. KEVIN PAUL EVANCIC (NPI# 1417958539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417958539
Entity Type Individual
Full Name DR. KEVIN PAUL EVANCIC
Credential PHARM D
Practice Address 1960 S 16th St
Wilmington
NC 28401-6647
Mailing Address 404 Venus Ct
Wilmington
NC 28405-8387
Practice Telephone 9107631896
Mailing Telephone 9107631896
Enumeration Date 2005-08-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 16500 NC Pharmacy Service Providers

Office Location

Street Address 1960 S 16TH ST
City WILMINGTON
State NC
Zip Code 28401-6647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699284521 Jennifer Blondin Nurse Practitioner 1960 S 16th St, Wilmington, NC 28401-6676 2017-09-22
1992199020 Constance Foreman Family Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2015-03-26
1750649422 William Mcleod Family Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2012-05-01
1467718346 Christopher Craig Internal Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2012-04-05
1922373117 Andres Afanador Internal Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2012-03-20
1497029953 Rand Pennington Nurse Practitioner 1960 S 16th St, Wilmington, NC 28401-6676 2012-03-01
1861701013 Carolina Healthcare Associates Inc Internal Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2010-10-05
1780905620 Darcy J. Burgard Physician Assistant 1960 S 16th St, Wilmington, NC 28401-6676 2010-06-15
1598993107 Daniel Dawson Family Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2009-06-23
1508036328 Gigi Macdonald Internal Medicine 1960 S 16th St, Wilmington, NC 28401-6676 2008-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649891649 Walter G Scott Pharmacist 1601 Kirkwood Hwy Rm 139, Wilmington, DE 19805-4917 2020-04-30
1366081440 Lauren E Harvey Pharmacist 3601 Saint Francis Dr, Wilmington, NC 28409-6603 2020-01-06
1669016846 Matilda N Clement Pharmacist 800 W 4th St Ste 501, Wilmington, DE 19801-2054 2019-10-31
1417514704 Joshua Kim Pharmacist 824 N Market St Ste 103, Wilmington, DE 19801-4937 2019-05-22
1356830871 Ashley Marie Scopelliti Pharmacist 3521 Silverside Rd Ste 1e, Wilmington, DE 19810-4900 2018-05-10
1689173429 Sarah Soora Kang Pharmacist 209 Christina Landing Dr, Wilmington, DE 19801-5248 2018-02-07
1639681141 Kelly Ann Steeves Pharmacist 601 Delaware Ave Fl 2, Wilmington, DE 19801-1462 2017-10-25
1861910903 Taryn Hinners Pharmacist 1201 N Market St, Wilmington, DE 19801-1147 2017-09-08
1760928709 Amalia Mistreanu Pharmacist 3128 Braemar Ln, Wilmington, NC 28409-8569 2017-01-15
1235590993 Jingbo Sun Pharmacist 1308 Centerville Rd., Wilmington, DE 19808 2016-03-09
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Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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