Active NPI
Nickolaus Macdonald
- Pharmacist
- Cincinnati, OH
National Provider Identifier
1649873589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03325882
- Practice address
- 9040 Colerain Ave
Cincinnati, OH 45251-2402 - Phone
- (513) 719-0038
- NPI assigned
- Nov 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03325882 | OH | |
| Pharmacist | 183500000X | 03325882 | OH | Primary |
Addresses
Primary practice location
9040 Colerain Ave
Cincinnati, OH 45251-2402
Mailing address
9040 Colerain Ave
Cincinnati, OH 45251-2402
Phone (513) 719-0038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03325882 | Other | OH | BOP |
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 |
|---|---|---|---|
| 03325882 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1649873589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 COLERAIN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452512402",
"telephone_number": "513-719-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 COLERAIN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452512402",
"telephone_number": "513-719-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "NICKOLAUS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03325882",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03325882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "03325882",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.