Active NPI
Aaron Nichols
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Corvallis, OR
National Provider Identifier
1033599311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0015659
- Practice address
- 3521 NW Samaritan Dr Ste 202
Corvallis, OR 97330-4744 - Phone
- (541) 768-1299
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI-0011199 | OR | |
| Pharmacist | 183500000X | RPH-0015659 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0015659 | OR | Primary |
Addresses
Primary practice location
3521 NW Samaritan Dr Ste 202
Corvallis, OR 97330-4744
Mailing address
16903 SE 28TH St
Vancouver, WA 98683-3409
Other practice location 1
530 NW 27th St
Corvallis, OR 97330-5223
Phone (541) 766-6646
Other practice location 2
220 S Seneca Rd
Eugene, OR 97402-2725
Phone (541) 344-0681
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 |
|---|---|---|---|
| PI-0011199 | OR | MD | Pharmacist |
| RPH-0015659 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1033599311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16903 SE 28TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986833409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 NW SAMARITAN DR STE 202",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973304744",
"telephone_number": "541-768-1299"
}
],
"practiceLocations": [
{
"address_1": "530 NW 27th St",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973305223",
"country_code": "US",
"telephone_number": "541-766-6646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 S Seneca Rd",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974022725",
"country_code": "US",
"telephone_number": "541-344-0681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "PI-0011199",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0015659",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0015659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.