Active NPI
Nicole Robinson, MD, PHARMD
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1477935070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62749
- Practice address
- 1144 Navarro St
Santa Rosa, CA 95401-9585 - Phone
- (206) 679-1810
- NPI assigned
- Jun 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62749 | CA | Primary |
| Pharmacist | 183500000X | PH00058852 | WA |
Addresses
Primary practice location
1144 Navarro St
Santa Rosa, CA 95401-9585
Mailing address
1144 Navarro St
Santa Rosa, CA 95401-9585
Phone (206) 679-1810
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 Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62749 | CA | MD | General Practice Dentistry |
| PH00058852 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1477935070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 NAVARRO ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954019585",
"telephone_number": "206-679-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 NAVARRO ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954019585",
"telephone_number": "206-679-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62749",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00058852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.