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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 16500 | NC | Pharmacy Service Providers |
Street Address |
1960 S 16TH ST |
City | WILMINGTON |
State | NC |
Zip Code | 28401-6647 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28401 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
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] |
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 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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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.