Active NPI
Ann Nichols, PHARMD
- Pharmacist
- Indian Land, SC
National Provider Identifier
1093081572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13486
- Practice address
- 6271 Carolina Commons Dr
Indian Land, SC 29707-5980 - Phone
- (803) 802-5400
- Fax
- (803) 548-9355
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13486 | SC | Primary |
| Pharmacist | 183500000X | 22131 | NC |
Addresses
Primary practice location
6271 Carolina Commons Dr
Indian Land, SC 29707-5980
Mailing address
6271 Carolina Commons Dr
Indian Land, SC 29707-5980
Phone (803) 802-5400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22131 | NC | MD | Pharmacist |
| 13486 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter, LLC | Past | Accepting new patients | |
| Harris Teeter LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Indian Land, SC
- NPI 1790923845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1093081572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6271 CAROLINA COMMONS DR",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297075980",
"telephone_number": "803-802-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6271 CAROLINA COMMONS DR",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297075980",
"telephone_number": "803-802-5400",
"fax_number": "803-548-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13486",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22131",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
- My Peace Keeper Inc
- Myeyedr Optometry of South Carolina, LLC
- Myeyedr Optometry of South Carolina, LLC (MyEyeDr.)
- Myeyedr Optometry of South Carolina, LLC (MyEyeDr.)
- Veronika Naumchenko
- Zhenhui Nixon
- Novant Health Enterprises Imaging, LLC (Novant Health Imaging Sun City)
- Novant Health Medical Group, LLC (Novant Health Rheumatology & Arthritis)
- Novant Health Medical Group, LLC (Novant Health Indian Land Primary Care)
- Danielle Ormandy, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.