Active NPI
Robert Nichols, RPH
- Pharmacist
- Corpus Christi, TX
National Provider Identifier
1235223934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31651
- Practice address
- 10525 Leopard
Corpus Christi, TX 78410-2601 - Phone
- (361) 241-2323
- Fax
- (361) 241-5541
- NPI assigned
- Oct 3, 2006
- Last updated
- Sep 9, 2008
- 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 | 31651 | TX | Primary |
Addresses
Primary practice location
10525 Leopard
Corpus Christi, TX 78410-2601
Mailing address
10525 Leopard St
Corpus Christi, TX 78410-2601
Phone (361) 241-2323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143320 | Medicaid | TX | |
| 4516564 | Other | TX | NABP |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31651 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1235223934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10525 LEOPARD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102601",
"telephone_number": "361-241-2323",
"fax_number": "361-241-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10525 LEOPARD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102601",
"telephone_number": "361-241-2323",
"fax_number": "361-241-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143320",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4516564",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.