Provider Demographics
NPI:1003526419
Name:GOSHEV, NEVENKA (PHARM D)
Entity Type:Individual
Prefix:
First Name:NEVENKA
Middle Name:
Last Name:GOSHEV
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:NEVENKA
Other - Middle Name:
Other - Last Name:KOCEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:14A KINGERY QUARTER APT 102
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6566
Mailing Address - Country:US
Mailing Address - Phone:630-974-9082
Mailing Address - Fax:
Practice Address - Street 1:7516 CASS AVE STE 1
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4432
Practice Address - Country:US
Practice Address - Phone:630-964-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051305221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1366459349OtherPHARMACY