Eric Michael Kipp, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP043898L Issued in PA

Practice address

1355 E Lehman St
Lebanon, PA 17046-8337

Phone

(717) 228-1210

Fax

(717) 279-7159

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1417557398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OATFIELD LN",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783087",
            "telephone_number": "717-644-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E LEHMAN ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170468337",
            "telephone_number": "717-228-1210",
            "fax_number": "717-279-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPP",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043898L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "RP043898L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Kim, RN, PHD, CDCES
• Shayla Kimmel, LCSW
• Seni Zwane King
• Jonathan T Kinley, D.O.
• Lindsay R Kio, PA-C, ATC
• Ann Kirby
• Debra Joy Kirk, RD
• Michelle Kirk
• Cathleen A. Kirkpatrick, CRNP
• Jennifer Lynn Kissane, M.D.

• Pharmacist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.