Active NPI
Nicole Rae Chenoweth, RPH
- Pharmacist
- Mitchell, SD
National Provider Identifier
1265504229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4776
- Practice address
- 818 W Havens St
Mitchell, SD 57301-3830 - Phone
- (605) 996-6062
- Fax
- (605) 996-6090
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4776 | SD | Primary |
Addresses
Primary practice location
818 W Havens St
Mitchell, SD 57301-3830
Mailing address
818 W Havens St
Mitchell, SD 57301-3830
Phone (605) 996-6062
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 |
|---|---|---|---|
| 4776 | SD | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265504229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 W HAVENS ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573013830",
"telephone_number": "605-996-6062",
"fax_number": "605-996-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 W HAVENS ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573013830",
"telephone_number": "605-996-6062",
"fax_number": "605-996-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENOWETH",
"first_name": "NICOLE",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.