Active NPI
Stephen Paul Nicholas, D.PH.
- Pharmacist
- Wagoner, OK
National Provider Identifier
1538336276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11307
- Practice address
- 326 E Cherokee St
Wagoner, OK 74467-4706 - Phone
- (918) 485-2317
- Fax
- (918) 485-8493
- NPI assigned
- May 12, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 11307 | OK | Primary |
Addresses
Primary practice location
326 E Cherokee St
Wagoner, OK 74467-4706
Mailing address
326 E Cherokee St
Wagoner, OK 74467-4706
Phone (918) 485-2317
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11307 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Drug Company Inc | Current | Accepting new patients |
Locations
326 E Cherokee St
Wagoner, OK 74467
Phone (918) 485-2317
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Wagoner, OK
- NPI 1942382742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1538336276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 E CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674706",
"telephone_number": "918-485-2317",
"fax_number": "918-485-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 E CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674706",
"telephone_number": "918-485-2317",
"fax_number": "918-485-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.