Michael Patrick Nolan, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-17091 Issued in KS

Practice address

2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613

Phone

(520) 533-9200

NPI assigned

Mar 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1508227273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 TEMPLE DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-17091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherif Anwar Mostafa, DPT
• Lisa Mueller, RN BSN
• National Vision, Inc.
• John W Newton, D.D.S.
• Van Nhan Nguyen, RN, FNP-BC
• Tyler H Norton, PT, DPT
• Olymphia O'Neale-White, LCSW
• Jason Patrick, FNP-C
• Stefanie M Patrick, FNP-C
• Kai Pedersen, DMD

• Pharmacist in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Pharmacist in Arizona

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

Verify at the official NPI Registry.