DOMINIC CICCOCIOPPO (NPI# 1326657685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326657685 |
| Entity Type | Individual |
| Full Name | DOMINIC CICCOCIOPPO |
| Practice Address |
3625 S College Rd Wilmington NC 28412-2003 |
| Mailing Address |
454 Darlington Ave Apt 208 Wilmington NC 28403-1879 |
| Practice Telephone | 9103958248 |
| Mailing Telephone | 7175920340 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29640 | NC | Pharmacy Service Providers |
| Street Address |
3625 S COLLEGE RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407959844 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3625 S College Rd, Wilmington, NC 28412-2003 | 2006-09-07 |
| 1205287315 | Laura Stein | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2016-06-29 |
| 1265809750 | Amanda Lingerfelt | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2015-08-31 |
| 1144624867 | Hugh Ruger Jr. | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2014-10-09 |
| 1366724593 | Daniel James Urban | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2011-09-14 |
| 1407142524 | Howard Russell Clark | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891649 | Walter G Scott | Pharmacist | 1601 Kirkwood Hwy Rm 139, Wilmington, DE 19805-4917 | 2020-04-30 |
| 1366081440 | Lauren E Harvey | Pharmacist | 3601 Saint Francis Dr, Wilmington, NC 28409-6603 | 2020-01-06 |
| 1669016846 | Matilda N Clement | Pharmacist | 800 W 4th St Ste 501, Wilmington, DE 19801-2054 | 2019-10-31 |
| 1417514704 | Joshua Kim | Pharmacist | 824 N Market St Ste 103, Wilmington, DE 19801-4937 | 2019-05-22 |
| 1356830871 | Ashley Marie Scopelliti | Pharmacist | 3521 Silverside Rd Ste 1e, Wilmington, DE 19810-4900 | 2018-05-10 |
| 1689173429 | Sarah Soora Kang | Pharmacist | 209 Christina Landing Dr, Wilmington, DE 19801-5248 | 2018-02-07 |
| 1639681141 | Kelly Ann Steeves | Pharmacist | 601 Delaware Ave Fl 2, Wilmington, DE 19801-1462 | 2017-10-25 |
| 1861910903 | Taryn Hinners | Pharmacist | 1201 N Market St, Wilmington, DE 19801-1147 | 2017-09-08 |
| 1760928709 | Amalia Mistreanu | Pharmacist | 3128 Braemar Ln, Wilmington, NC 28409-8569 | 2017-01-15 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on DOMINIC CICCOCIOPPO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.