Nicole Bruer Lange, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

49429 Issued in TX

Practice address

1820 N Loy Lake Rd
Sherman, TX 75090-0203

Phone

(903) 868-1565

Fax

(903) 868-9657

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Kroger Texas L P

  • Community/Retail Pharmacy
  • Sherman, TX
  • NPI 1427121045
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1871128249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N LOY LAKE RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900203",
            "telephone_number": "903-868-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N LOY LAKE RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900203",
            "telephone_number": "903-868-1565",
            "fax_number": "903-868-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "NICOLE",
        "middle_name": "BRUER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "49429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme M Lamarche, LCSW
• Brandi Lamb, APRN-CNP
• Cherry Ann Puntanar Lampkin
• Alyssa Lane
• Keith Dewayne Lang, LPC
• Cedana Carroll Lanig, ARNP
• Miranda L Laxton, APRN-CNP
• Miracle Layman
• Helen Leatherwood, LPC
• Holly A Ledane, LDRD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sherman, TX
• Providers in Sherman, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.