Individual provider Active NPI

Lanette J Sipple, PHARMD

  • Pharmacist
  • Cumberland, MD
National Provider Identifier
1144644626
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21696 Issued in MD
Practice address
12500 Willowbroook Road
Pharmacy Department
Cumberland, MD 21501
Phone
(240) 964-2161
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21696 MD Primary

Addresses

Primary practice location

12500 Willowbroook Road
Pharmacy Department
Cumberland, MD 21501

Mailing address

12500 Willowbroook Road, PO Box 539
Pharmacy Department
Cumberland, MD 21501
Phone (240) 964-2161

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
21696MDMDPharmacist

Interoperability endpoints

  • Direct secure messaging: lanette.j.taylor@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1144644626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOOK ROAD, PO BOX 539",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21501",
            "telephone_number": "240-964-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOOK ROAD",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21501",
            "telephone_number": "240-964-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "LANETTE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.