Active NPI
Gayle Lynne Nichols
- Pharmacy Technician
- Pocahontas, AR
National Provider Identifier
1679671952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT88066
- Practice address
- 115 E Broadway St
Pocahontas, AR 72455-3402 - Phone
- (870) 892-5615
- Fax
- (870) 892-2592
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT88066 | AR | Primary |
Addresses
Primary practice location
115 E Broadway St
Pocahontas, AR 72455-3402
Mailing address
135 3Rd St
Biggers, AR 72413-9522
Phone (870) 810-1836
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 |
|---|---|---|---|
| PT88066 | AR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Futrell Pharmacy Inc | Past | Accepting new patients | |
| Futrell Pharmacy Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Pocahontas, AR
- NPI 1538056395
-
- Pharmacy
- Pocahontas, AR
- NPI 1780681932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679671952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 3RD ST",
"city": "BIGGERS",
"state": "AR",
"postal_code": "724139522",
"telephone_number": "870-810-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E BROADWAY ST",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724553402",
"telephone_number": "870-892-5615",
"fax_number": "870-892-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "GAYLE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AR",
"license": "PT88066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, AR
- Brandon Daylon Murphy, M.D.
- Joshua Casey Murphy, PTA
- Martha Elizabeth Murphy
- Michael Cody Murphy, OTR/L
- National Staffing Group, LLC
- Bilinda Lane Norman, DNP, CNS-BC, APRN
- Northeast Arkansas Community Mental Health Center
- Kimberly Denice O'Neill, P.D.
- Carson Oldham, COTA/L
- Leah M Olson, SLP ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.