Michael Nolan, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

058125 Issued in NY

Practice address

5631 State Highway 12
Norwich, NY 13815-3205

Phone

(607) 336-2774

Fax

(607) 336-2666

NPI assigned

Aug 18, 2014

Last updated

Aug 18, 2014By the provider in NPPES

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

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

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1184023962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 STATE HIGHWAY 12",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153205",
            "telephone_number": "607-336-2774",
            "fax_number": "607-336-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 STATE HIGHWAY 12",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153205",
            "telephone_number": "607-336-2774",
            "fax_number": "607-336-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MICHAEL",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "058125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Michelle Neis
• Dustin Newcombe, OTR/L
• Heidi Newton, RN
• Kevin J. Nial, CPP, CASAC
• Tara Michelle Niedzialkowski, PA
• Emily Louise Norton, R.N.
• Norwich City School District
• Norwich Operating Co LLC (Norwich Rehabilitation and Nursing Center)
• Mary Margaret Nowak
• Sarah Nucero, LCSW

• Pharmacist in Norwich, NY
• Providers in Norwich, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.