Individual provider Active NPI

Nicholas Owens, PHARMD

  • Ambulatory Care Pharmacist
  • Philadelphia, PA
National Provider Identifier
1083993349
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
RP443606 Issued in PA
Practice address
600 S 43Rd St
Box 34
Philadelphia, PA 19104-4418
Phone
(215) 596-7233
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 28RI03789000 NJ
Ambulatory Care Pharmacist 1835P2201X RP443606 PA Primary
Ambulatory Care Pharmacist 1835P2201X RPI001434 PA

Addresses

Primary practice location

600 S 43Rd St
Box 34
Philadelphia, PA 19104-4418

Mailing address

600 S 43Rd St
Box 34
Philadelphia, PA 19104-4418
Phone (215) 596-7233

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

LicenseStateTypeSpecialty
28RI03789000NJMDAmbulatory Care Pharmacist
RP443606PAMDAmbulatory Care Pharmacist
RPI001434PAMDAmbulatory Care Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1083993349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 43RD ST",
            "address_2": "BOX 34",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044418",
            "telephone_number": "215-596-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 43RD ST",
            "address_2": "BOX 34",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044418",
            "telephone_number": "215-596-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NJ",
            "license": "28RI03789000",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP443606",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RPI001434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.