Active NPI
Nichelle Yvette Clinkscale, RPH
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1689323685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039503L
- Practice address
- 6518 Harlan St
Philadelphia, PA 19151-3709 - Phone
- (215) 877-4455
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- 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 | RP039503L | PA | Primary |
Addresses
Primary practice location
6518 Harlan St
Philadelphia, PA 19151-3709
Mailing address
PO Box 815
Glenside, PA 19038-0815
Phone (215) 877-4455
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP039503L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1689323685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 815",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190380815",
"telephone_number": "215-877-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6518 HARLAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191513709",
"telephone_number": "215-877-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINKSCALE",
"first_name": "NICHELLE",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039503L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Clinical Health Care Associates of New Jersey, PC
- Clinical Nephrology Assoc Inc PC
- Clinical Nephrology Associates, LTD.
- Clinical Neuropsychology Associates, P.C.
- Clinical Research Philadelphia, LLC
- Clinton Endocrine Laboratory
- Sara Clipp, CRNP
- Cliveden Center, LLC
- Cliveden Nursing and Rehabilitation Center PA, LP
- Cliveden Operating, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.