Patricia Kieffer Nicholson

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD06965 Issued in AR

Practice address

427 Highway 425 N
Monticello, AR 71655-4015

Phone

(870) 367-3559

Fax

(870) 367-5086

NPI assigned

Oct 27, 2020

Sex

Female

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

State licenses

Practice roles

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Monticello, AR
  • NPI 1609893080
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1629678073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SCENIC DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559491",
            "telephone_number": "870-723-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 425 N",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554015",
            "telephone_number": "870-367-3559",
            "fax_number": "870-367-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "PATRICIA",
        "middle_name": "KIEFFER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD06965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mayleen Napier, PTA
• Terry Newman
• Mary Elizabeth Newton, AT
• Jennifer Nichols
• Julia Danielle Nicholson, M.D.
• Bonita Nolen
• Shameal Norwood
• Leia Dawn O'Fallon, ANP
• Odyssey Healthcare Operating a, LP
• Olivia'S Senior Home Care

• Pharmacist in Monticello, AR
• Providers in Monticello, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.