Active NPI
Autumn Nickell
- Pharmacist
- Columbus, OH
National Provider Identifier
1427978303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03446998
- Practice address
- 150 W Sycamore St
Columbus, OH 43215-5618 - Phone
- (614) 340-7980
- NPI assigned
- Jul 20, 2026
- Last updated
- Jul 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03446998 | OH | Primary |
Addresses
Primary practice location
150 W Sycamore St
Columbus, OH 43215-5618
Mailing address
379 Lebanon St
Monroe, OH 45050-1408
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | 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": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1427978303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 LEBANON ST",
"city": "MONROE",
"state": "OH",
"postal_code": "450501408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W SYCAMORE ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155618",
"telephone_number": "614-340-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKELL",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03446998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.