Active NPI
Nichole Dawn Pruitt
- Pharmacy Technician
- Stuart, VA
National Provider Identifier
1891431219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 0230021194
- Practice address
- 140 South Main Street
Stuart, VA 24171 - Phone
- (276) 694-4034
- Fax
- (276) 694-8355
- NPI assigned
- May 9, 2022
- Last updated
- May 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0230021194 | VA | Primary |
Addresses
Primary practice location
140 South Main Street
Stuart, VA 24171
Mailing address
140 South Main Street
Stuart, VA 24171
Phone (276) 694-4034
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 |
|---|---|---|---|
| 0230021194 | VA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1891431219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SOUTH MAIN STREET",
"city": "STUART",
"state": "VA",
"postal_code": "24171",
"telephone_number": "276-694-4034",
"fax_number": "276-694-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SOUTH MAIN STREET",
"city": "STUART",
"state": "VA",
"postal_code": "24171",
"telephone_number": "276-694-4034",
"fax_number": "276-694-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "NICHOLE",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "VA",
"license": "0230021194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, VA
- Peaceful Restoration Behavioral Health LLC
- Pioneer Health Servces of Patrick County, Inc. (Pioneer Family Medical)
- Pioneer Health Services of Patrick County, Inc
- Pioneer Health Services of Patrick County, Inc
- Pioneer Health Services of Patrick County, Inc.
- Quiet Oak LLC
- Meagan Nichole Radford, FNP-BC
- Kimberley Redd, LPC
- Renal Care Group of the South, Inc. (RCG Patrick County)
- Sandra Robertson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.