Lauren Kipp, RPH
Individual provider Active NPI Pharmacist · Warrensburg, NY
NPI 1336901065 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1336901065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 071342 (NY)
- Practice address
- 3761 Main St
Warrensburg, NY 12885-1837 - Phone
- (518) 623-2993
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071342 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071342 | NY | Yes |
Addresses
Primary practice location
3761 Main St
Warrensburg, NY 12885-1837
Mailing address
1879 Glens Falls Mountain Rd
Lake Luzerne, NY 12846-2113
Phone (518) 681-1637
Other providers in Warrensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.