Individual provider Active NPI

Nickolas Peter Vogel, PHARMD

  • Pharmacist
  • Mount Ayr, IA
National Provider Identifier
1154959146
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21593 Issued in IA
Practice address
504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone
(641) 464-4413
Fax
(641) 464-4453
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21593 IA Primary

Addresses

Primary practice location

504 N Cleveland St
Mount Ayr, IA 50854-2201

Mailing address

29466 Kilgore Creek Rd
Davis City, IA 50065-4283
Phone (515) 971-5944

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rch@ringgold.medalliesdirect.net 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

LicenseStateTypeSpecialty
21593IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1154959146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29466 KILGORE CREEK RD",
            "city": "DAVIS CITY",
            "state": "IA",
            "postal_code": "500654283",
            "telephone_number": "515-971-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N CLEVELAND ST",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542201",
            "telephone_number": "641-464-4413",
            "fax_number": "641-464-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "NICKOLAS",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rch@ringgold.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RCH Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "504 N Cleveland St",
            "city": "Mount Ayr",
            "state": "IA",
            "country_code": "US",
            "postal_code": "508542201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Ayr, IA

Sources for this page

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