Tommie Jo Nichols, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202008010 Issued in VA

Practice address

4910 Valley View Blvd
Valley View Pharmacy
Roanoke, VA 24012

Phone

(540) 366-2112

Fax

(540) 366-7210

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699813386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CROTTS LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196600",
            "telephone_number": "540-293-0134",
            "fax_number": "540-366-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VALLEY VIEW BLVD",
            "address_2": "VALLEY VIEW PHARMACY",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012",
            "telephone_number": "540-366-2112",
            "fax_number": "540-366-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TOMMIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Nichols, PHARM.D.
• Jerome Tak Nichols, M.D.
• Joshua Clayton Nichols, M.D.
• Synethia Mason Nichols, M.ED.
• Tammy Fox Nichols
• Stephanie Nickerson, NP
• Terry Paul Nickerson, MD
• Sarah Nie, M.D.
• James R Niederlehner, M.D.
• Mary C Niederlehner, RN, CRNA

• Pharmacist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pharmacist in Virginia

• 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.

Verify at the official NPI Registry.