Active NPI
Nancy M Nix, PHARM.D., BCPS, BCOP
- Oncology Pharmacist
- Johnson City, TN
National Provider Identifier
1811243777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 43906
- Practice address
- 2 Professional Park Dr Ste 15
Johnson City, TN 37604-6584 - Phone
- (912) 713-3505
- NPI assigned
- Jul 30, 2012
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH022759 | GA | |
| Pharmacist | 183500000X | PS48909 | FL | |
| Pharmacist | 183500000X | 13683 | SC | |
| Pharmacist | 183500000X | 22048 | NC | |
| Oncology Pharmacist | 1835X0200X | 0202218513 | VA | |
| Oncology Pharmacist | 1835X0200X | 43906 | TN | Primary |
Addresses
Primary practice location
2 Professional Park Dr Ste 15
Johnson City, TN 37604-6584
Mailing address
PO Box 21824
Hilton Head, SC 29925-1824
Phone (912) 713-3505
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 |
|---|---|---|---|
| PS48909 | FL | MD | Pharmacist |
| RPH022759 | GA | MD | Pharmacist |
| 22048 | NC | MD | Pharmacist |
| 43906 | TN | MD | Oncology Pharmacist |
| 0202218513 | VA | MD | Oncology Pharmacist |
| 13683 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1811243777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21824",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299251824",
"telephone_number": "912-713-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PROFESSIONAL PARK DR STE 15",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046584",
"telephone_number": "912-713-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "NANCY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPS, BCOP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022759",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48909",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13683",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22048",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "VA",
"license": "0202218513",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "TN",
"license": "43906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.