NPIMap

Individual provider Active NPI

Denise Marie Nuxoll, RPH

  • Pharmacist
  • Cottonwood, ID
National Provider Identifier
1689084659
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P4720 Issued in ID
Practice address
429 Main
Cottonwood, ID 83522
Phone
(208) 962-3401
Fax
(208) 962-5150
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P4720 ID Primary

Addresses

Primary practice location

429 Main
Cottonwood, ID 83522

Mailing address

PO Box 7
Cottonwood, ID 83522-0007
Phone (208) 962-3401

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
P4720IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Hospital Inc Past Accepting new patients
Arnzen Super Drug, 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, 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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1689084659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "835220007",
            "telephone_number": "208-962-3401",
            "fax_number": "208-962-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MAIN",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "83522",
            "telephone_number": "208-962-3401",
            "fax_number": "208-962-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUXOLL",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P4720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.