Active NPI
Daniel Keith Nickell, PHARM.D
- Pharmacist
- Garland, TX
National Provider Identifier
1609284439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38150
- Practice address
- 650 Beebalm LN Ste 220
Garland, TX 75040-2955 - Phone
- (615) 687-3601
- NPI assigned
- Jul 24, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62030 | TX | |
| Pharmacist | 183500000X | RP452150 | PA | |
| Pharmacist | 183500000X | RPH027986 | GA | |
| Pharmacist | 183500000X | 019700 | KY | |
| Pharmacist | 183500000X | 38150 | TN | Primary |
Addresses
Primary practice location
650 Beebalm LN Ste 220
Garland, TX 75040-2955
Mailing address
650 Beebalm LN Ste 220
Garland, TX 75040-2955
Phone (615) 687-3601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62030 | TX | MD | Social Worker |
| RPH027986 | GA | MD | Pharmacist |
| 019700 | KY | MD | Pharmacist |
| RP452150 | PA | MD | Pharmacist |
| 38150 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1609284439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 BEEBALM LN STE 220",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402955",
"telephone_number": "615-687-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 BEEBALM LN STE 220",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402955",
"telephone_number": "615-687-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKELL",
"first_name": "DANIEL",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-24",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62030",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452150",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027986",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019700",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "38150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.