Dr. Nikolas Conrad Sutphin, PharmD
Pharmacist in Richmond, VA. Individual provider (NPI-1).
NPI number1154101848
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1154101848
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nikolas Conrad Sutphin
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202219082 | VA | Yes |
Practice location
8905 Three Chopt RdRichmond, VA 23229-4663
Phone 804-288-3620
Mailing address
906 Regester PkwyRichmond, VA 23226-3631
Phone 804-310-4147
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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