Individual provider Active NPI

Sky Nicole Nitschke, PHARM.D.

  • Pharmacist
  • Jamestown, ND
National Provider Identifier
1336359272
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5085 Issued in ND
Practice address
410 10TH St SE
Jamestown, ND 58401-5562
Phone
(701) 252-5980
NPI assigned
May 22, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5085NDMDSocial Worker
118577MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.