Provider Demographics
NPI:1639894512
Name:PHILIPPART, OLIVIA CATHERINE (PHARMD, BCTXP)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:CATHERINE
Last Name:PHILIPPART
Suffix:
Gender:F
Credentials:PHARMD, BCTXP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9611 SHERRILL ESTATES RD STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9611 SHERRILL ESTATES RD STE B
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6504
Practice Address - Country:US
Practice Address - Phone:704-801-1150
Practice Address - Fax:704-801-1151
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031343183500000X
KY022017183500000X, 1835P0018X
NC33743183500000X
KYB131002091835S0206X
NC7005891835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835S0206XPharmacy Service ProvidersPharmacistSolid Organ Transplant
Provider Identifiers
StateIdentifier IDID TypeIssuer
B13100209OtherBOARD OF PHARMACY SPECIALTIES