Casey Nichols, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH6178 Issued in ND

Practice address

1500 14TH St W Ste 150
Williston, ND 58801-4080

Phone

(701) 572-7979

Fax

(701) 572-7981

NPI assigned

Jul 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• G & G RX Inc

  • Community/Retail Pharmacy
  • Minot, ND
  • NPI 1497538706
  NPD
• G & G RX Inc

  • Community/Retail Pharmacy
  • Williston, ND
  • NPI 1063839496
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1104435528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 11TH AVE W APT 405",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015365",
            "telephone_number": "406-498-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 150",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014080",
            "telephone_number": "701-572-7979",
            "fax_number": "701-572-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CASEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-62960",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica A Nelson
• Joann A Nelson, LICSW
• Kristy Nelson, LMT
• New Attitude Massage, LLC
• Sandra Newman
• Deanna Michelle Nilson
• Jamie N Njos Soiseth, PTA
• Nolanedna Recovery Living LLC
• Cherise Norby, FNP
• Tina M. Nordaune, LCSW

• Pharmacist in Williston, ND
• Providers in Williston, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.