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

Last updated

Jul 31, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G & G RX Inc

  dba G & G Pharmacy - Minot

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

  dba G & G Pharmacy

  • 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.