Active NPI
Nicholas Gockel, PHARMD
- Pharmacist
- Brandenburg, KY
National Provider Identifier
1144984428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022010
- Practice address
- 568 Bypass Rd
Brandenburg, KY 40108-1702 - Phone
- (270) 422-3532
- NPI assigned
- Oct 24, 2021
- Last updated
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022010 | KY | Primary |
Addresses
Primary practice location
568 Bypass Rd
Brandenburg, KY 40108-1702
Mailing address
42 Tarnwood Dr
Brandenburg, KY 40108-9000
Other practice location 1
7500 Terry Rd
Louisville, KY 40258-2642
Phone (502) 935-6230
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Nicholas.gockel@stores.Kroger.com | Direct |
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 |
|---|---|---|---|
| 022010 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Current | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Locations
568 Bypass Rd
Brandenburg, KY 40108
Phone (270) 422-3532
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Brandenburg, KY
- NPI 1619901451
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1144984428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 TARNWOOD DR",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401089000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 BYPASS RD",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081702",
"telephone_number": "270-422-3532"
}
],
"practiceLocations": [
{
"address_1": "7500 Terry Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402582642",
"country_code": "US",
"telephone_number": "502-935-6230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOCKEL",
"first_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-24",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022010",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Nicholas.gockel@stores.Kroger.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "568 Bypass Rd",
"city": "Brandenburg",
"state": "KY",
"country_code": "US",
"postal_code": "401081702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandenburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.