Active NPI
Derek Schipper, PHARM. D
- Pharmacist
- Owensboro, KY
National Provider Identifier
1942809082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021572
- Practice address
- 2630 Frederica St
Owensboro, KY 42301-5440 - Phone
- (270) 926-4977
- NPI assigned
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
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
- Newport, KY
- NPI 1104791078
-
- Community/Retail Pharmacy
- Owensboro, KY
- NPI 1730104431
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 |
|---|---|---|---|
| 021572 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021572 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2630 Frederica St
Owensboro, KY 42301-5440
Mailing address
3750 Ralph Ave Apt 521
Owensboro, KY 42303-2219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2020.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1942809082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 RALPH AVE APT 521",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 FREDERICA ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423015440",
"telephone_number": "270-926-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIPPER",
"first_name": "DEREK",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.