Active NPI
Nicole Adele Gallaher, PHARMD
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1669805966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66145
- Practice address
- 3093 Marlow Rd
Santa Rosa, CA 95403-2426 - Phone
- (707) 569-8504
- NPI assigned
- Aug 10, 2013
- Last updated
- Aug 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66145 | CA | Primary |
Addresses
Primary practice location
3093 Marlow Rd
Santa Rosa, CA 95403-2426
Mailing address
2280 San Miguel Ave
Santa Rosa, CA 95403-8160
Phone (707) 293-6242
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66145 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376092800000",
"number": "1669805966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 SAN MIGUEL AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038160",
"telephone_number": "707-293-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3093 MARLOW RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032426",
"telephone_number": "707-569-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAHER",
"first_name": "NICOLE",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-10",
"last_updated": "2013-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.