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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cheyenne, WY
- NPI 1942527080
-
- Community/Retail Pharmacy
- Cheyenne, WY
- NPI 1164428710
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.