Individual provider Active NPI

Nicholas M Shaiko, RPH

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1649059825
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP043272L Issued in PA
Practice address
128 S 60TH St
Philadelphia, PA 19139-3036
Phone
(215) 474-4550
Fax
(215) 474-4551
NPI assigned
Sep 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043272L PA Primary

Addresses

Primary practice location

128 S 60TH St
Philadelphia, PA 19139-3036

Mailing address

128 S 60TH St
Philadelphia, PA 19139-3036
Phone (215) 474-4550

Other practice location 1

239 Harrogate Rd
Wynnewood, PA 19096-3131
Phone (610) 952-1631

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP043272LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1649059825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393036",
            "telephone_number": "215-474-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393036",
            "telephone_number": "215-474-4550",
            "fax_number": "215-474-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Harrogate Rd",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963131",
            "country_code": "US",
            "telephone_number": "610-952-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKO",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043272L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.