Active NPI
Debra Stevens Nicholas, RPH
- Pharmacist
- Candler, NC
National Provider Identifier
1477005478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25937
- Practice address
- 72 Willow BND
Candler, NC 28715-8728 - Phone
- (618) 889-6001
- NPI assigned
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25937 | NC | Primary |
| Pharmacist | 183500000X | 8032 | TN | |
| Pharmacist | 183500000X | 051.289817 | IL |
Addresses
Primary practice location
72 Willow BND
Candler, NC 28715-8728
Mailing address
72 Willow BND
Candler, NC 28715-8728
Phone (618) 889-6001
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.289817 | IL | MD | Pharmacist |
| 25937 | NC | MD | Pharmacist |
| 8032 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1477005478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 WILLOW BND",
"city": "CANDLER",
"state": "NC",
"postal_code": "287158728",
"telephone_number": "618-889-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 WILLOW BND",
"city": "CANDLER",
"state": "NC",
"postal_code": "287158728",
"telephone_number": "618-889-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "DEBRA",
"middle_name": "STEVENS",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25937",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8032",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.289817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candler, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.