Individual provider Active NPI

Cheyanne Kae Novich, PHARMD

  • Pharmacist
  • Masontown, PA
National Provider Identifier
1548813314
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP453523 Issued in PA
Practice address
1845 McClellandtown Rd
Masontown, PA 15461-2509
Phone
(724) 583-2080
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP453523 PA Primary

Addresses

Primary practice location

1845 McClellandtown Rd
Masontown, PA 15461-2509

Mailing address

2305 Surrey LN Apt 17
McKeesport, PA 15135-3211
Phone (412) 414-2310

Other practice location 1

975 Rostraver Rd
Rostraver Township, PA 15012-1946
Phone (724) 929-9155

Other practice location 2

1198 Scalp Ave
Johnstown, PA 15904-3053
Phone (814) 266-1454

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

LicenseStateTypeSpecialty
RP453523PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania CVS Pharmacy, L.L.C. Past Accepting new patients
Pennsylvania CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1548813314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SURREY LN APT 17",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151353211",
            "telephone_number": "412-414-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 MCCLELLANDTOWN RD",
            "city": "MASONTOWN",
            "state": "PA",
            "postal_code": "154612509",
            "telephone_number": "724-583-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Rostraver Rd",
            "address_purpose": "LOCATION",
            "city": "Rostraver Township",
            "state": "PA",
            "postal_code": "150121946",
            "country_code": "US",
            "telephone_number": "724-929-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1198 Scalp Ave",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043053",
            "country_code": "US",
            "telephone_number": "814-266-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVICH",
        "first_name": "CHEYANNE",
        "middle_name": "KAE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Masontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.