Active NPI
Nichelle M Logan, PHARMD
- Ambulatory Care Pharmacist
- Radnor, PA
National Provider Identifier
1255972956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RP453983
- Practice address
- 250 King of Prussia Rd
Radnor, PA 19087-5227 - Phone
- (267) 624-5417
- NPI assigned
- Oct 3, 2019
- Last updated
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RP453983 | PA | Primary |
Addresses
Primary practice location
250 King of Prussia Rd
Radnor, PA 19087-5227
Mailing address
250 King of Prussia Rd
Radnor, PA 19087-5227
Phone (614) 403-7292
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP453983 | PA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1255972956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875227",
"telephone_number": "614-403-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875227",
"telephone_number": "267-624-5417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "NICHELLE",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "PA",
"license": "RP453983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radnor, PA
- Life Counseling Services
- Stephanie Liles, NONE
- Marie Alice Lindner
- Joanne K Linevsky, MD
- Aaron Liu Liu, M.D.
- Laurie Lynch, RPH
- Sara Turnbull Maggitti, PSY.D.
- Main Line Affiliates
- Main Line Health Homecare and Hospice (Main Line Health HomeCare and Hospice - home health)
- Main Line Health Homecare and Hospice (Main Line Health HomeCare & Hospice - home health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.