Debra W Nichol, RPH
Individual provider Active NPI Pharmacist · Fayetteville, WV
NPI 1235610098 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1235610098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00003666 (WV)
- Practice address
- 217 W Maple Ave # 2
Fayetteville, WV 25840-1413 - Phone
- (304) 574-3991
- Fax
- (304) 574-3651
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00003666 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00003666 | WV | Yes |
Addresses
Primary practice location
217 W Maple Ave # 2
Fayetteville, WV 25840-1413
Mailing address
217 W Maple Ave # 2
Fayetteville, WV 25840-1413
Phone (304) 574-3991
Other providers in Fayetteville, WV
- New River Health Association, Inc.
- New River Health Association, Inc.
- New River Ranch Inc
- New Riverranch
- Ryan D Newell
- Allie Chinyere Nwosu
- James William Odell
- Heather Rayan Pack
- Sharon Pack
- Carl Parsons
All providers in Fayetteville, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.