Ronald Wayne Nicholas, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

7404 Issued in OK

Practice address

326 E Cherokee St
Wagoner, OK 74467-4706

Phone

(918) 485-2317

Fax

(918) 485-8483

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ronald Wayne Nicholas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rogers Drug Company Inc

  • Community/Retail Pharmacy
  • Wagoner, OK
  • NPI 1942382742
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1295816692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SE 10TH ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677218",
            "telephone_number": "918-485-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674706",
            "telephone_number": "918-485-2317",
            "fax_number": "918-485-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "7404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "NICHOLAS",
            "middle_name": "WAYNE",
            "prefix": "DR.",
            "credential": "DPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacy Elaine Muncy
• Jennifer Rae Murr, P.T.
• Elaina Murray
• Natural Care Chiropractic Clinic Inc PC
• Next Generation Family Medical Clinic, LLC
• Stephen Paul Nicholas, D.PH.
• Nichole Lee Nichols
• Carleen Noe
• Norsekal LLC
• Amanda Leann Northcutt

• Pharmacist in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.