Nicole Marie Oncken, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH6314 Issued in ND

Practice address

4440 S Washington St Ste 101D
Grand Forks, ND 58201-7245

Phone

(701) 732-2900

Fax

(701) 732-2909

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Walls Medicine Center Inc

  • Community/Retail Pharmacy
  • Grand Forks, ND
  • NPI 1407946338
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1114598349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 RUEMMELE RD APT 205",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016436",
            "telephone_number": "701-317-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S WASHINGTON ST STE 101D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017245",
            "telephone_number": "701-732-2900",
            "fax_number": "701-732-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCKEN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Phillip Olson, MD
• Wade Alexander Olson, FNP-C
• William A Olson, DO
• William Harold Olson, DDS
• Bonnie B Omdahl, MD
• Amaka Onyeka, FNP-C
• Ikechukwu C Onyeka, MD
• Open MRI of Grand Forks, LLC
• Optimal Care LLC
• Anthony Ormandy

• Pharmacist in Grand Forks, ND
• Providers in Grand Forks, 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 8, 2021; 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.