Active NPI
Nicholas Cipriano IV, PHARMD
- Pharmacist
- Newport News, VA
National Provider Identifier
1902556905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202220033
- Practice address
- 12121 Jefferson Ave
Newport News, VA 23602-6916 - Phone
- (757) 746-2002
- NPI assigned
- Mar 24, 2022
- 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 | 0202220033 | VA | Primary |
Addresses
Primary practice location
12121 Jefferson Ave
Newport News, VA 23602-6916
Mailing address
12121 Jefferson Ave
Newport News, VA 23602-6916
Phone (757) 746-2002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | w247phm@costco.com | COSTCO WHOLESALE CORPORATION |
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 |
|---|---|---|---|
| 0202220033 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1902556905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236026916",
"telephone_number": "757-746-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236026916",
"telephone_number": "757-746-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPRIANO",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220033",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "w247phm@costco.com",
"affiliation": "Y",
"endpointDescription": "pharmacy manager email address",
"affiliationName": "COSTCO WHOLESALE CORPORATION",
"address_1": "12121 Jefferson Ave",
"city": "Newport News",
"state": "VA",
"country_code": "US",
"postal_code": "236026916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.