Active NPI
Bonnie Frances Nicholson, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1346537511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21782
- Practice address
- 5740 N Graham St
Charlotte, NC 28269-4839 - Phone
- (704) 596-1034
- NPI assigned
- Jul 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21782 | NC | Primary |
Addresses
Primary practice location
5740 N Graham St
Charlotte, NC 28269-4839
Mailing address
2341 Hassell PL
Charlotte, NC 28209-2225
Phone (910) 824-1630
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 |
|---|---|---|---|
| 21782 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1346537511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 HASSELL PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092225",
"telephone_number": "910-824-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 N GRAHAM ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282694839",
"telephone_number": "704-596-1034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "BONNIE",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.