Active NPI
Dusti Renae Henrichs, PHARM D
- Pharmacist
- Fort Hood, TX
National Provider Identifier
1386077907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012027067
- Practice address
- 36000 Darnall Loop
Fort Hood, TX 76544-5095 - Phone
- (254) 288-8828
- NPI assigned
- Aug 19, 2013
- 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 | 2012027067 | MO | Primary |
| Pharmacist | 183500000X | 13945 | NE |
Addresses
Primary practice location
36000 Darnall Loop
Fort Hood, TX 76544-5095
Mailing address
5706 Shawn Dr
Killeen, TX 76542-4438
Phone (308) 379-7820
Other names 1
- Ms. Dusti Renae Nichols
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 |
|---|---|---|---|
| 2012027067 | MO | MD | Pharmacist |
| 13945 | NE | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1386077907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 SHAWN DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765424438",
"telephone_number": "308-379-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "254-288-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRICHS",
"first_name": "DUSTI",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012027067",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DUSTI",
"last_name": "NICHOLS",
"middle_name": "RENAE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.