Active NPI
Melanie Baker Nichols, PHARM. D.
- Pharmacist
- Martin, TN
National Provider Identifier
1376060384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9784
- Practice address
- 134 Courtright Rd
Martin, TN 38237-1606 - Phone
- (731) 587-3819
- NPI assigned
- Aug 30, 2017
- 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 | 9784 | TN | Primary |
Addresses
Primary practice location
134 Courtright Rd
Martin, TN 38237-1606
Mailing address
134 Courtright Rd
Martin, TN 38237-1606
Phone (731) 587-3819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9784 | Other | TN | PHARMACY LICENSE |
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 |
|---|---|---|---|
| 9784 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376060384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 COURTRIGHT RD",
"city": "MARTIN",
"state": "TN",
"postal_code": "382371606",
"telephone_number": "731-587-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 COURTRIGHT RD",
"city": "MARTIN",
"state": "TN",
"postal_code": "382371606",
"telephone_number": "731-587-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "MELANIE",
"middle_name": "BAKER",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "9784",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martin, TN
- Mt. Pelia Emergency Physicians
- Ann Lucile Napier, NP
- Tracy Nassar, LPC/MHSP
- Linda A Nethery, PHYSICAL THERAPIST
- New Perspectives, LLC.
- Madison Switcher Northcutt, FNP-C
- Northwest Tennessee Development District
- Northwest Tennessee Eye Clinic, PC
- Northwest Tennessee Eye Clinic, PC
- Northwest Tennessee Human Resource Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.