Organization Active NPI

Nichols Clinic LLC

  • Community/Retail Pharmacy
  • Elkhorn City, KY
National Provider Identifier
1811987696
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 18, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.