Active NPI
David Lee Novick, R.PH.
- Pharmacist
- Cheyenne, WY
National Provider Identifier
1881037232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2840
- Practice address
- 514 S Greeley Hwy
Cheyenne, WY 82007-2852 - Phone
- (307) 634-6662
- Fax
- (307) 634-6670
- NPI assigned
- Apr 15, 2013
- Last updated
- Apr 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 2840 | WY | Primary |
Addresses
Primary practice location
514 S Greeley Hwy
Cheyenne, WY 82007-2852
Mailing address
5142 Eagle Lake Dr
Fort Collins, CO 80524-9690
Phone (970) 472-5849
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 |
|---|---|---|---|
| 2840 | WY | MD | Pharmacist |
Practice roles
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": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1881037232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5142 EAGLE LAKE DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805249690",
"telephone_number": "970-472-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S GREELEY HWY",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820072852",
"telephone_number": "307-634-6662",
"fax_number": "307-634-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVICK",
"first_name": "DAVID",
"middle_name": "LEE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.