Active NPI
Sky Nicole Nitschke, PHARM.D.
- Pharmacist
- Jamestown, ND
National Provider Identifier
1336359272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5085
- Practice address
- 410 10TH St SE
Jamestown, ND 58401-5562 - Phone
- (701) 252-5980
- NPI assigned
- May 22, 2007
- Last updated
- Jul 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5085 | ND | Primary |
| Pharmacist | 183500000X | 118577 | MN |
Addresses
Primary practice location
410 10TH St SE
Jamestown, ND 58401-5562
Mailing address
410 10TH St SE
Jamestown, ND 58401-5562
Phone (701) 252-5980
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 |
|---|---|---|---|
| 5085 | ND | MD | Social Worker |
| 118577 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Co of Jamestown Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thrifty White Pharmacy #046
- Community/Retail Pharmacy
- West Fargo, ND
- NPI 1033208640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1336359272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 10TH ST SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584015562",
"telephone_number": "701-252-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 10TH ST SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584015562",
"telephone_number": "701-252-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITSCHKE",
"first_name": "SKY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5085",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.