Individual provider Active NPI

Nichole Althouse, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Broadlands, VA
National Provider Identifier
1457769184
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
0202212881 Issued in VA
Practice address
43300 Southern Walk PLZ
Broadlands, VA 20148-4463
Phone
(703) 723-0981
Fax
(703) 723-0981
NPI assigned
Jul 25, 2014
Reactivated
Jun 21, 2018
Last updated
Jul 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70550 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0202212881 VA Primary

Addresses

Primary practice location

43300 Southern Walk PLZ
Broadlands, VA 20148-4463

Mailing address

7250 Carson Blvd
Long Beach, CA 90808-2358

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

LicenseStateTypeSpecialty
70550CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1457769184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43300 SOUTHERN WALK PLZ",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484463",
            "telephone_number": "703-723-0981",
            "fax_number": "703-723-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTHOUSE",
        "first_name": "NICHOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "deactivation_date": "2015-06-11",
        "reactivation_date": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70550",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202212881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.