Active NPI
Nicholas Averill, PHARMD
- Pharmacist
- Mesa, AZ
National Provider Identifier
1386382463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025832
- Practice address
- 1135 N Mesa Dr
Mesa, AZ 85201-3504 - Phone
- (480) 898-8025
- NPI assigned
- May 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | S025832 | AZ | Primary |
Addresses
Primary practice location
1135 N Mesa Dr
Mesa, AZ 85201-3504
Mailing address
746 W University Dr
Mesa, AZ 85201-5613
Phone (480) 208-8895
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 |
|---|---|---|---|
| S025832 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1386382463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 W UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852015613",
"telephone_number": "480-208-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N MESA DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013504",
"telephone_number": "480-898-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERILL",
"first_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-26",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.