Active NPI
Gina M Kicinski
- Pharmacist
- Durham, NC
National Provider Identifier
1922324458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13693
- Practice address
- 2816 Erwin Rd Ste 105
Durham, NC 27705-4589 - Phone
- (919) 282-5553
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP-035896L | PA | |
| Pharmacist | 183500000X | 13693 | NC | Primary |
Addresses
Primary practice location
2816 Erwin Rd Ste 105
Durham, NC 27705-4589
Mailing address
2816 Erwin Rd Ste 105
Durham, NC 27705-4589
Phone (919) 282-5553
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-035896L | PA | MD | Pharmacist |
| 13693 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2816 Erwin Rd
Ste 105
Durham, NC 27705
Phone (919) 282-5553
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": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1922324458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 ERWIN RD STE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054589",
"telephone_number": "919-282-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 ERWIN RD STE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054589",
"telephone_number": "919-282-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KICINSKI",
"first_name": "GINA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-035896L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13693",
"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 Dec 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.