Individual provider Active NPI

Andrea Hobbs Nixon, PHARMD, RPH

  • Pharmacist
  • Columbia Station, OH
National Provider Identifier
1316183924
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03328815 Issued in OH
Practice address
11055 Fairway Dr
Columbia Station, OH 44028-9692
Phone
(440) 781-6637
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03328815 OH Primary

Addresses

Primary practice location

11055 Fairway Dr
Columbia Station, OH 44028-9692

Mailing address

11055 Fairway Dr
Columbia Station, OH 44028-9692
Phone (440) 781-6637

Other names 1

  • Andrea Crystal Hobbs Former name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03328815OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1316183924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 FAIRWAY DR",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289692",
            "telephone_number": "440-781-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 FAIRWAY DR",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289692",
            "telephone_number": "440-781-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "ANDREA",
        "middle_name": "HOBBS",
        "name_prefix": "Mrs.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03328815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HOBBS",
            "middle_name": "CRYSTAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia Station, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.