Individual provider Active NPI

Kevin Ryan Nipar, PHARMD

  • Pharmacist
  • Washington, PA
National Provider Identifier
1073046207
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438726 Issued in PA
Practice address
378 W Chestnut St Ste 205
Washington, PA 15301-4661
Phone
(724) 705-0012
Fax
(724) 228-2085
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438726 PA Primary

Addresses

Primary practice location

378 W Chestnut St Ste 205
Washington, PA 15301-4661

Mailing address

378 W Chestnut St Ste 205
Washington, PA 15301-4661
Phone (724) 705-0012

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

LicenseStateTypeSpecialty
RP438726PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1073046207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 W CHESTNUT ST STE 205",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014661",
            "telephone_number": "724-705-0012",
            "fax_number": "724-228-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 W CHESTNUT ST STE 205",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014661",
            "telephone_number": "724-705-0012",
            "fax_number": "724-228-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPAR",
        "first_name": "KEVIN",
        "middle_name": "RYAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.