Individual provider Active NPI

Kelly Nippins, PHARMD

  • Pharmacist
  • Whitman, MA
National Provider Identifier
1649869637
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH25492 Issued in MA
Practice address
571 Washington St
Whitman, MA 02382-1337
Phone
(781) 447-0606
Fax
(781) 447-4769
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH25492 MA Primary

Addresses

Primary practice location

571 Washington St
Whitman, MA 02382-1337

Mailing address

129 Pierce Rd
Weymouth, MA 02188-2731
Phone (617) 974-1643

Other practice location 1

101 Pleasant St
Weymouth, MA 02190-2400
Phone (781) 337-0187

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PrescribeWellness Duvals Pharmacy Inc

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
PH25492MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duvals Pharmacy Inc CurrentSince Jan 17, 2021 Accepting new patients
Duvals Pharmacy Inc PastSince Jan 17, 2021 Accepting new patients

Locations

571 Washington St
Whitman, MA 02382
Phone (781) 447-0606

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1649869637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PIERCE RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882731",
            "telephone_number": "617-974-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 WASHINGTON ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821337",
            "telephone_number": "781-447-0606",
            "fax_number": "781-447-4769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021902400",
            "country_code": "US",
            "telephone_number": "781-337-0187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIPPINS",
        "first_name": "KELLY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH25492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PrescribeWellness",
            "affiliation": "Y",
            "endpointDescription": "eCare",
            "affiliationName": "Duvals Pharmacy Inc",
            "address_1": "571 Washington St",
            "city": "Whitman",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023821337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitman, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.