Andrew Nichols, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD15102 Issued in AR

Practice address

7321 Cantrell Rd
Little Rock, AR 72207-4144

Phone

(479) 426-4065

NPI assigned

Jan 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Lrock Advanced Manufacturing LLC

  • Compounding Pharmacy
  • Little Rock, AR
  • NPI 1902661796
  NPD Authorized official
• Cornerstone Pharmacy JFK LLC

  • Community/Retail Pharmacy
  • North Little Rock, AR
  • NPI 1104179274
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1649860040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CARNELIAN DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202362",
            "telephone_number": "479-426-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074144",
            "telephone_number": "479-426-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28754",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA PHARMACIST LICENSE",
            "identifier": "28754",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PD15102",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiu Wen Ni, PHARM.D
• Nicco Medical Services LLC.
• Leslie Nichole Nice, PT, DPT
• Richard Nicholas, MD
• Abigail E Nichols, APRN, CNM
• April Nichols
• Chelsea A Nichols
• Jasmine Nichols, CPHT
• Jody Nichols, L.C.S.W.
• Melissa Marie Nichols, LCSW

• Pharmacist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.