Active NPI
Nicole Dipietro, PHARMD
- Pharmacist
- Clearfield, PA
National Provider Identifier
1205508934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP456229
- Practice address
- 307 E Market St
Clearfield, PA 16830-2432 - Phone
- (813) 765-7841
- NPI assigned
- Sep 30, 2021
- Last updated
- Sep 30, 2021
- Sex
- Female
- 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 | RP456229 | PA | Primary |
Addresses
Primary practice location
307 E Market St
Clearfield, PA 16830-2432
Mailing address
109 Shermerhorn Ave
Punxsutawney, PA 15767-2213
Phone (814) 249-2241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP456229 | Other | PA | LISENCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP456229 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1205508934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHERMERHORN AVE",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672213",
"telephone_number": "814-249-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E MARKET ST",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168302432",
"telephone_number": "813-765-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPIETRO",
"first_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISENCE",
"identifier": "RP456229",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.