Nichols Drug Stores Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301001614 Issued in MI

Legal business name

NICHOLS DRUG STORES INC

Practice address

112 S Main St
Scottville, MI 49454-1221

Phone

(231) 757-3749

Fax

(231) 757-2396

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Leo Nichols

Title

Owner

Phone

(231) 757-3749

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1164449070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494541221",
            "telephone_number": "231-757-3749",
            "fax_number": "231-757-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494541221",
            "telephone_number": "231-757-3749",
            "fax_number": "231-757-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-757-3749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301001614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518947",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986223",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lipps
• Mason County Senior Meals on Wheels
• Craig K. Matheson, D.O.
• Memorial Medical Center of West Michigan (Spectrum Health Ludington Hospital)
• Nanazworld Home Helpers
• Northwest Michigan Health Services, Inc.
• Timothy Joseph Petipren
• Bruce Edwin Ritzema, DDS
• Cheryl Ann Rons, LMSW
• Claudia Schroeder, M.D.

• Community/Retail Pharmacy in Scottville, MI
• Providers in Scottville, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.