Active NPI
Richard Dipasquale
- Pharmacist
- Vienna, WV
National Provider Identifier
1528462850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- WV0004644
- Practice address
- 800 Grand Central Ave
Vienna, WV 26105-2150 - Phone
- (304) 295-4506
- Fax
- (304) 295-9436
- NPI assigned
- Oct 15, 2014
- Sex
- Male
- 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 | WV0004644 | WV | Primary |
Addresses
Primary practice location
800 Grand Central Ave
Vienna, WV 26105-2150
Mailing address
800 Grand Central Ave
Vienna, WV 26105-2150
Phone (304) 295-4506
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV0004644 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1528462850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052150",
"telephone_number": "304-295-4506",
"fax_number": "304-295-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052150",
"telephone_number": "304-295-4506",
"fax_number": "304-295-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPASQUALE",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "WV0004644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.