Dallas Micah Nimsey, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

13774 Issued in OK

Practice address

800 SE 4TH St
Moore, OK 73160-7210

Phone

(405) 794-1539

NPI assigned

Oct 27, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

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.

• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)
• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Moore, OK
  • NPI 1689778417
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1134846371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SE 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607210",
            "telephone_number": "405-794-1539",
            "fax_number": "405-794-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607210",
            "telephone_number": "405-794-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMSEY",
        "first_name": "DALLAS",
        "middle_name": "MICAH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "13774",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dallas.nimsey@cvs.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "OKLAHOMA CVS PHARMACY LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 SE 4th St",
            "city": "Moore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731607210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mylee Nguyen
• Trang Le Nguyen, PHARMD
• Russell Nichols
• Sara Ann Nichols, M.ED
• Gabrielle Nickels
• Kelly Nix, RN, BS, CCM
• Morgan Christen Nixon
• Amy Njenga, LMT
• Blessing Njenje
• Betty Njoh

• Pharmacist in Moore, OK
• Providers in Moore, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.