Active NPI
Nicholas Evan Lipp, 208U00000X
- Pharmacist
- Richland, MI
National Provider Identifier
1073481412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414014
- Practice address
- 8900 Gull Rd
Richland, MI 49083-9310 - Phone
- (269) 629-9550
- NPI assigned
- Oct 27, 2025
- Last updated
- Oct 30, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 5302414014 | MI | Primary |
Addresses
Primary practice location
8900 Gull Rd
Richland, MI 49083-9310
Mailing address
8900 Gull Rd
Richland, MI 49083-9310
Phone (269) 629-9550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414014 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Village Drug Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Richland Village Drug
- Community/Retail Pharmacy
- Richland, MI
- NPI 1649358763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1073481412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 GULL RD",
"city": "RICHLAND",
"state": "MI",
"postal_code": "490839310",
"telephone_number": "269-629-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 GULL RD",
"city": "RICHLAND",
"state": "MI",
"postal_code": "490839310",
"telephone_number": "269-629-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPP",
"first_name": "NICHOLAS",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "208U00000X",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-30",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.