Active NPI
Vaughn P Sichak, PHARM D
- Pharmacist
- Durham, NC
National Provider Identifier
1700080314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18753
- Practice address
- 4215 University Dr
Durham, NC 27707-2544 - Phone
- (919) 493-2548
- Fax
- (919) 419-2591
- NPI assigned
- Jun 14, 2007
- Last updated
- Jun 5, 2009
- 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 | 18753 | NC | Primary |
Addresses
Primary practice location
4215 University Dr
Durham, NC 27707-2544
Mailing address
8765 Cypress Grove Run
Raleigh, NC 27612-1936
Phone (814) 418-1554
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18753 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1700080314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 CYPRESS GROVE RUN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276121936",
"telephone_number": "814-418-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 UNIVERSITY DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072544",
"telephone_number": "919-493-2548",
"fax_number": "919-419-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICHAK",
"first_name": "VAUGHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.