DR. MARKETA MARVANOVA (NPI# 1851638605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851638605 |
| Entity Type | Individual |
| Full Name | DR. MARKETA MARVANOVA |
| Credential | PHARMD, CGP, BCPP |
| Practice Address |
9501 S. King Drive, Douglas Hall 203-23 Chicago State University College of Pharmacy Chicago IL 60628 |
| Mailing Address |
1653 W Congress Pkwy Rush University Medical Center Chicago IL 60612-3833 |
| Practice Telephone | 7738212331 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
015779 | KY | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0000031557 | TN | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051296405 | IL | Pharmacy Service Providers |
| Street Address |
9501 S. KING DRIVE, DOUGLAS HALL 203-23 CHICAGO STATE UNIVERSITY COLLEGE OF PHARMACY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| 1043525496 | Eve Packer | Registered Nurse | 33 E, 114th Street, Chicago, IL 60628 | 2010-08-10 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1922661230 | Devon Burhoe | Pharmacist | 833 S Wood St Ste 164, Chicago, IL 60612-7229 | 2019-04-22 |
| 1649743626 | Phoebe Sebhatu Lebeau | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-02 |
| 1730566233 | Glen Pietrandoni | Pharmacist | 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 | 2015-05-04 |
| 1952732570 | Joy Ezidinma | Pharmacist | 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 | 2013-12-07 |
| 1255601753 | Viktorija O Trakis | Pharmacist | 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 | 2011-12-31 |
| 1558664896 | Jaini Patel | Pharmacist | 2535 South Martin Luther King Drive, Chicago, IL 60616 | 2010-12-08 |
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1851604102 | Angela M. Plewa | Pharmacist | 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 | 2010-07-15 |
| 1730408196 | Gerard Leon Hunter | Pharmacist | 321 E 90th Pl, Chicago, IL 60619-7337 | 2010-05-25 |
| Find all providers in CHICAGO | ||||
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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.