Active NPI
Nichols Clinic LLC
- Community/Retail Pharmacy
- Elkhorn City, KY
National Provider Identifier
1811987696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NICHOLS CLINIC LLC
- Practice address
- 220 Elkhorn St
Elkhorn City, KY 41522 - Phone
- (606) 754-5076
- Fax
- (606) 754-5557
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Saad
- Title
- President
- Phone
- (318) 259-7334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
220 Elkhorn St
Elkhorn City, KY 41522
Mailing address
1002 S Broadway St Ste 7
Georgetown, KY 40324-1463
Phone (606) 754-5076
Other names 1
- Nichols Apothecary
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elkhorn City, KY
- NPI 1306014824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734480000000",
"number": "1811987696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S BROADWAY ST STE 7",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403241463",
"telephone_number": "606-754-5076",
"fax_number": "606-754-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ELKHORN ST",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "41522",
"telephone_number": "606-754-5076",
"fax_number": "606-754-5557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A",
"authorized_official_last_name": "SAAD",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-259-7334"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nichols Apothecary",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nichols Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkhorn City, KY
- Larry Edward McCoy, OTR
- Mountain Comprehensive Health Corporation
- Mountain Comprehensive Health Corporation
- Mountain View Healthcare and Rehabilitation Center LLC
- Nichols Clinic LLC
- On Site Screening, LLC
- Batrina Dale Potter, PHARMD
- Ramey Family Practice PLLC
- Meranda Ramey
- Lewauna Renee Reardon, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.