Active NPI
Clairessa Ciupak, PHARMD
- Pharmacist
- Athens, OH
National Provider Identifier
1245096304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068756
- Practice address
- 2131 E State St
Athens, OH 45701-2138 - Phone
- (740) 589-3181
- NPI assigned
- Feb 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03442158 | OH | |
| Pharmacist | 183500000X | 068756 | NY | Primary |
Addresses
Primary practice location
2131 E State St
Athens, OH 45701-2138
Mailing address
9401 Mentor Ave # 171
Mentor, OH 44060-4519
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 |
|---|---|---|---|
| 068756 | NY | MD | Pharmacist |
| 03442158 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1245096304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 MENTOR AVE # 171",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 E STATE ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012138",
"telephone_number": "740-589-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIUPAK",
"first_name": "CLAIRESSA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03442158",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.