Active NPI
Milton Nichols
- Pharmacist
- Mitchellville, MD
National Provider Identifier
1083074827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13081
- Practice address
- 12138 Central Ave
483
Mitchellville, MD 20721-1910 - Phone
- (240) 354-6995
- Fax
- (301) 949-4926
- NPI assigned
- Mar 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13081 | MD | Primary |
Addresses
Primary practice location
12138 Central Ave
483
Mitchellville, MD 20721-1910
Mailing address
12138 Central Ave
483
Mitchellville, MD 20721-1910
Phone (240) 354-6995
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 |
|---|---|---|---|
| 13081 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1083074827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12138 CENTRAL AVE",
"address_2": "483",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211910",
"telephone_number": "240-354-6995",
"fax_number": "301-949-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12138 CENTRAL AVE",
"address_2": "483",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211910",
"telephone_number": "240-354-6995",
"fax_number": "301-949-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "MILTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "13081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.