Brienne Nichols

Primary specialty

PharmacistTaxonomy code 183500000X

License

051795 Issued in NY

Practice address

1625 Broadway Street
Buffalo, NY 14212

Phone

(716) 894-2443

Fax

(716) 892-6355

NPI assigned

Dec 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1265531420
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1467636431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BROADWAY STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14212",
            "telephone_number": "716-894-2443",
            "fax_number": "716-892-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BROADWAY STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14212",
            "telephone_number": "716-894-2443",
            "fax_number": "716-892-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BRIENNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00714076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River-Aaerin Anatinus Niahll, LMFT
• Zagros Niakan, M.D.
• Thomas Paul Nicaise, MS,CRC,LMHC
• Eileen Nicander
• Nice Ride Transportation, Inc.
• Meghan Elizabeth Nichols, PT, DPT
• Shannon Raye Nichols
• Carol M Nicholson, CAROL NICHOLSON,ED.M
• Erica Nicholson
• Sarah Elizabeth Nicholson, LMSW

• Pharmacist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.