Active NPI
Ethan Pippin, PHARMD
- Pharmacist
- Casper, WY
National Provider Identifier
1033719372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4233
- Practice address
- 4400 E 2ND St
Casper, WY 82609-4221 - Phone
- (318) 418-0372
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4233 | WY | Primary |
Addresses
Primary practice location
4400 E 2ND St
Casper, WY 82609-4221
Mailing address
1243 River Heights Dr
Mills, WY 82604-2117
Phone (318) 418-0372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4233 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1033719372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 RIVER HEIGHTS DR",
"city": "MILLS",
"state": "WY",
"postal_code": "826042117",
"telephone_number": "318-418-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094221",
"telephone_number": "318-418-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPIN",
"first_name": "ETHAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.