Organization Active NPI

Nickal Inc

  • Community/Retail Pharmacy
  • Richwood, OH
National Provider Identifier
1417379595
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP022374450 Issued in OH
Legal business name
NICKAL INC
Doing business as
Richwood Pharmacy
Practice address
24 W Ottawa St
Richwood, OH 43344-1139
Phone
(740) 943-2233
Fax
(740) 943-2323
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Lisa Sheehan
Title
Owner
Phone
(740) 943-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RTP022374450 OH Primary

Addresses

Primary practice location

24 W Ottawa St
Richwood, OH 43344-1139

Mailing address

24 W Ottawa St
Richwood, OH 43344-1139
Phone (740) 943-2233

Other identifiers 1

IdentifierTypeStateIssuer
2143844OtherPK

Other names 1

  • Richwood Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

171 S Main St
Prospect, OH 43342
Phone (740) 494-2663

24 W Ottawa St
Richwood, OH 43344
Phone (740) 943-2233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1417379595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W OTTAWA ST",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433441139",
            "telephone_number": "740-943-2233",
            "fax_number": "740-943-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W OTTAWA ST",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433441139",
            "telephone_number": "740-943-2233",
            "fax_number": "740-943-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-943-2233"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP022374450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.