Active NPI
Nicole Ann Walsh, PHARMD.
- Pharmacist
- Dickson City, PA
National Provider Identifier
1730327107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438684
- Practice address
- 330 Main St.
Pharmacy
Dickson City, PA 18519 - Phone
- (570) 330-5189
- Fax
- (570) 330-5024
- NPI assigned
- Jan 23, 2009
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP438684 | PA | Primary |
Addresses
Primary practice location
330 Main St.
Pharmacy
Dickson City, PA 18519
Mailing address
330 Main St.
Pharmacy
Dickson City, PA 18519
Phone (570) 330-5189
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP438684 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Health Care Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Allied Services Pharmacy
- Long Term Care Pharmacy
- Clarks Summit, PA
- NPI 1336321124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1730327107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MAIN ST.",
"address_2": "PHARMACY",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "18519",
"telephone_number": "570-330-5189",
"fax_number": "570-330-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MAIN ST.",
"address_2": "PHARMACY",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "18519",
"telephone_number": "570-330-5189",
"fax_number": "570-330-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "NICOLE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson City, PA
- Laurie B Valunas, CRNP
- Mary Christine Vignola-Robeson, SLP
- Lori Ann Villano, MSW, LCSW, CAADC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1884)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Denise Marie Warhola, RPH
- Diane Marie Wasp, MS
- Jonathon David Wasp, MS
- Diane Webber, CCC-SLP
- Timothy D Welby, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.