Nicole Marie Hendricks, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

118584 Issued in MN

Practice address

3470 River Rapids Dr NW
Coon Rapids, MN 55448-4101

Phone

(763) 427-1156

Fax

(763) 427-1562

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Coon Rapids, MN
  • NPI 1437165800
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1407137003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 RIVER RAPIDS DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484101",
            "telephone_number": "763-427-1156",
            "fax_number": "763-427-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 RIVER RAPIDS DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484101",
            "telephone_number": "763-427-1156",
            "fax_number": "763-427-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jerome Hellrung, DO
• Jodi Lee Helseth, M.A., LPCC
• Amy Josephine Henderson, CRNA
• Julie Kay Henderson, OTL, CHT
• Jennifer Leigh Hendricks, PA
• Jasmine Heng
• David Alan Henning, DC
• Nancy Ann Henry-Socha, MD
• Tiffany Henry
• Fuab Her, OTR

• Pharmacist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.