Active NPI
Rachel Lauren Piccin, PHARMD, RPH
- Pharmacist
- Jackson, OH
National Provider Identifier
1205342961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03337737
- Practice address
- 530 E Main St
Jackson, OH 45640-2127 - Phone
- (740) 286-6400
- Fax
- (740) 286-4510
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- 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 | 03337737 | OH | Primary |
Addresses
Primary practice location
530 E Main St
Jackson, OH 45640-2127
Mailing address
643 Enclave Village PL Apt 3
Lewis Center, OH 43035-8516
Phone (614) 374-0749
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03337737 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jackson, OH
- NPI 1689608390
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1205342961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 ENCLAVE VILLAGE PL APT 3",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430358516",
"telephone_number": "614-374-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E MAIN ST",
"city": "JACKSON",
"state": "OH",
"postal_code": "456402127",
"telephone_number": "740-286-6400",
"fax_number": "740-286-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIN",
"first_name": "RACHEL",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.