=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689558983
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAYKA CHAVES PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2025
-----------------------------------------------------
Last Update Date | 11/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 41 WESTRIDGE MARKET PL
-----------------------------------------------------
City | CANDLER
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28715-9174
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-667-0851
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 51 N MERRIMON AVE
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28804-1373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-225-5113
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 34047
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------