Organization Active NPI

Nicks Pharmacy

  • Community/Retail Pharmacy
  • Bridge City, TX
National Provider Identifier
1699811703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11566 Issued in TX
Legal business name
NICKS PHARMACY
Practice address
1815 Texas Ave
Bridge City, TX 77611-2833
Phone
(409) 735-5323
Fax
(409) 735-2052
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nick Nichols
Title
Pharmacist
Phone
(409) 735-5323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11566 TX Primary

Addresses

Primary practice location

1815 Texas Ave
Bridge City, TX 77611-2833

Mailing address

1815 Texas Ave
Bridge City, TX 77611-2833
Phone (409) 735-5323

National Provider Directory

National Provider Directory

Locations

1815 Texas Ave
Bridge City, TX 77611
Phone (409) 735-5323

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699811703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112833",
            "telephone_number": "409-735-5323",
            "fax_number": "409-735-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112833",
            "telephone_number": "409-735-5323",
            "fax_number": "409-735-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "409-735-5323"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.