Nicholsons Sumner Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00000590 Issued in WA

Legal business name

NICHOLSONS SUMNER PHARMACY INC

Practice address

910 Alder Ave
Sumner, WA 98390-1406

Phone

(253) 863-8141

Fax

(253) 863-3707

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Harrell

Title

Owner

Phone

(253) 863-8141

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Hubbard, RPH

  • Pharmacist
  • Sumner, WA
  • NPI 1538565254
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1730287178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240167",
            "telephone_number": "253-863-8141",
            "fax_number": "253-863-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ALDER AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901406",
            "telephone_number": "253-863-8141",
            "fax_number": "253-863-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSONS SUMNER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-863-8141"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00000590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6054902",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Movement Chiropractic and Massage, LLC (Riverside Chiropractic Center)
• Rebecca Ruth Muirhead, PSYD
• Navdeep Dhaliwal and Manpreet Dhaliwal DDS PLLC (Complete Dental Care of Sumner)
• Nghi Que Ngo, FNP-C
• Mindy Nichols, R.D., C.D.E.
• Christopher John Nielsen, D.M.D
• Nikolina Petrasevic Nielsen, DMD
• Melissa Marie Noren, LMT
• Kelsey Marie O'Brien, PT, DPT
• Old Cannery Furniture Warehouse LLC (The Old Cannery)

• Community/Retail Pharmacy in Sumner, WA
• Providers in Sumner, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.