Active NPI
Jenny Nichols
- Pharmacist
- New Fairfield, CT
National Provider Identifier
1831683671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6272
- Practice address
- 25 State Route 39
New Fairfield, CT 06812-4044 - Phone
- (203) 312-9818
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 6272 | CT | Primary |
Addresses
Primary practice location
25 State Route 39
New Fairfield, CT 06812-4044
Mailing address
PO Box 238
Bethlehem, CT 06751-0238
Phone (203) 266-5149
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6272 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1831683671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 238",
"city": "BETHLEHEM",
"state": "CT",
"postal_code": "067510238",
"telephone_number": "203-266-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STATE ROUTE 39",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124044",
"telephone_number": "203-312-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "JENNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "6272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.