Individual provider Active NPI

Nicholas James Arduin, PHARM-D

  • Pharmacist
  • Independence, VA
National Provider Identifier
1376147181
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202206213 Issued in VA
Practice address
576 E Main St
Independence, VA 24348-3879
Phone
(276) 773-2211
Fax
(276) 773-2223
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 0202206213 VA Primary

Addresses

Primary practice location

576 E Main St
Independence, VA 24348-3879

Mailing address

79 Deer Ridge Dr
Independence, VA 24348-4060
Phone (276) 768-9694

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
0202206213VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodys Pharmacy Inc PastSince Nov 29, 2020 Accepting new patients
K -VA -T Food Stores Inc PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1376147181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 DEER RIDGE DR",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243484060",
            "telephone_number": "276-768-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 E MAIN ST",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243483879",
            "telephone_number": "276-773-2211",
            "fax_number": "276-773-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDUIN",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARM-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.