Active NPI
Nichole Lynn Feagin, PHARMD
- Pharmacist
- Sandy Springs, GA
National Provider Identifier
1306145446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022111
- Practice address
- 8601 Dunwoody PL Ste 750
Sandy Springs, GA 30350-2519 - Phone
- (404) 815-1610
- Fax
- (404) 815-1609
- NPI assigned
- Mar 15, 2011
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20681 | AL | |
| Pharmacist | 183500000X | 5302047394 | MI | |
| Pharmacist | 183500000X | 42643 | TN | |
| Pharmacist | 183500000X | 26018 | MD | |
| Pharmacist | 183500000X | 0202217233 | VA | |
| Pharmacist | 183500000X | 65701 | TX | |
| Pharmacist | 183500000X | RPH022111 | GA | Primary |
Addresses
Primary practice location
8601 Dunwoody PL Ste 750
Sandy Springs, GA 30350-2519
Mailing address
8601 Dunwoody PL Ste 750
Sandy Springs, GA 30350-2519
Phone (404) 815-1610
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 |
|---|---|---|---|
| 26018 | MD | MD | Social Worker |
| 20681 | AL | MD | Pharmacist |
| RPH022111 | GA | MD | Pharmacist |
| 5302047394 | MI | MD | Pharmacist |
| 42643 | TN | MD | Pharmacist |
| 65701 | TX | MD | Pharmacist |
| 0202217233 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icp Holdings, LLC | Current | Accepting new patients | |
| Icp Holdings, LLC | Current | Accepting new patients | |
| Palliative Pharmacy Solutions Inc | Past | Accepting new patients |
Locations
8601 Dunwoody Pl
Ste 750
Sandy Springs, GA 30350
Phone (404) 815-1610
Organizations & group practices 3
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.
-
- Compounding Pharmacy
- Sandy Springs, GA
- NPI 1184175523
-
- Compounding Pharmacy
- Tampa, FL
- NPI 1053331850
-
- Long Term Care Pharmacy
- Tucker, GA
- NPI 1679602452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1306145446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 DUNWOODY PL STE 750",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303502519",
"telephone_number": "404-815-1610",
"fax_number": "404-815-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 DUNWOODY PL STE 750",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303502519",
"telephone_number": "404-815-1610",
"fax_number": "404-815-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEAGIN",
"first_name": "NICHOLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20681",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302047394",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42643",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26018",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217233",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65701",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.