Active NPI
Daniel J. Dippold, RPH
- Pharmacist
- Warren, PA
National Provider Identifier
1063768620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044317T
- Practice address
- 2901 Market St
Warren, PA 16365-5216 - Phone
- (814) 723-8250
- Fax
- (814) 723-8269
- NPI assigned
- Jul 31, 2012
- Last updated
- Jul 31, 2012
- 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 | RP044317T | PA | Primary |
Addresses
Primary practice location
2901 Market St
Warren, PA 16365-5216
Mailing address
2901 Market St
Warren, PA 16365-5216
Phone (814) 723-8250
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044317T | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1063768620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 MARKET ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163655216",
"telephone_number": "814-723-8250",
"fax_number": "814-723-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 MARKET ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163655216",
"telephone_number": "814-723-8250",
"fax_number": "814-723-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPPOLD",
"first_name": "DANIEL",
"middle_name": "J.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044317T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
- Deerfield Behavioral Health of Warren (Deerfield Centers for Addictions Treatment)
- Deerfield Behavioral Health of Warren, LLC
- Lee E Denlinger, MD
- Grace Shepherd Dennis
- Christine M Dills, DPT
- Don Mills Achievement Center
- Mark Edward Donick, DDS
- Drayer Physical Therapy Institute LLC
- Valerie R. Dunn, M.D.
- Jenna Anne Dunning, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.