Individual provider Active NPI

Nicholas Tanner White, PHARMD

  • Pharmacist
  • Danville, VA
National Provider Identifier
1649810201
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29244 Issued in NC
Practice address
133 S Ridge St
Danville, VA 24541-1313
Phone
(434) 791-4880
NPI assigned
Jan 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29244 NC Primary

Addresses

Primary practice location

133 S Ridge St
Danville, VA 24541-1313

Mailing address

1507 County Line Rd
Bassett, VA 24055-5140
Phone (276) 224-3523

Other practice location 1

717 Highway St
Madison, NC 27025-1507
Phone (336) 548-6021

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

LicenseStateTypeSpecialty
29244NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1649810201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 COUNTY LINE RD",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240555140",
            "telephone_number": "276-224-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S RIDGE ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411313",
            "telephone_number": "434-791-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Highway St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NC",
            "postal_code": "270251507",
            "country_code": "US",
            "telephone_number": "336-548-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NICHOLAS",
        "middle_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-12",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.