Active NPI
Nicole W. Champion, PHARMD
- Pharmacist
- Tuscaloosa, AL
National Provider Identifier
1477095263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15196
- Practice address
- 11346 River Oak Cir
Tuscaloosa, AL 35405-8106 - Phone
- (205) 454-6129
- NPI assigned
- Nov 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15196 | AL | Primary |
Addresses
Primary practice location
11346 River Oak Cir
Tuscaloosa, AL 35405-8106
Mailing address
11346 River Oak Cir
Tuscaloosa, AL 35405-8106
Phone (205) 454-6129
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1477095263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11346 RIVER OAK CIR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354058106",
"telephone_number": "205-454-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11346 RIVER OAK CIR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354058106",
"telephone_number": "205-454-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "NICOLE",
"middle_name": "W.",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.