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Mario Zivanovic, PHARMD

Pharmacist in Corvallis, OR · enumerated 2021 · practices at Fred Meyer Stores Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104586627

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Registry record

Entity type Individual (Type 1)
Name Mario Zivanovic
Credential PHARMD
Sex Male
Practice address 777 Nw Kings Blvd, Corvallis, OR, 97330
Phone (541) 754-5583
Enumeration date Dec 23, 2021
Last updated in NPPES Dec 23, 2021

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 0018691 (OR) Primary
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mario Zivanovic practice?
The practice location on file with NPPES is in Corvallis, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mario Zivanovic?
The National Provider Identifier (NPI) for Mario Zivanovic is 1104586627, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-23.