Douglas E Nykanen

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6601-42 Issued in WI

Legal business name

DOUGLAS E NYKANEN

Practice address

120 N Cascade St
Osceola, WI 54020-7000

Phone

(715) 294-2110

Fax

(715) 294-1617

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Nykanen, RPHNPI 1467505917

Title

Owner and Pharm

Phone

(715) 294-2110

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OSCEOLA PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Eugene Nykanen, R.PH.

  • Pharmacist
  • Osceola, WI
  • NPI 1467505917
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1669535274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200279",
            "telephone_number": "715-294-2110",
            "fax_number": "715-294-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N CASCADE ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540207000",
            "telephone_number": "715-294-2110",
            "fax_number": "715-294-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS E NYKANEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "NYKANEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER AND PHARM",
        "authorized_official_telephone_number": "715-294-2110",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6601-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33048000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5117228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCEOLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dakota Cole, DPT
• Natalia Cropper, FNP-C
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• Community/Retail Pharmacy in Osceola, WI
• Providers in Osceola, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.