Individual provider Active NPI

Nicholas Dean Colden, RPH

  • Pharmacist
  • Deland, FL
National Provider Identifier
1891881983
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS26163 Issued in FL
Practice address
2400 S Woodland Blvd
Deland, FL 32720-8636
Phone
(386) 734-5369
Fax
(386) 740-1333
NPI assigned
Oct 5, 2006
Last updated
Aug 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS26163 FL Primary

Addresses

Primary practice location

2400 S Woodland Blvd
Deland, FL 32720-8636

Mailing address

1430 Arroyo Vista Dr
Deland, FL 32724-7988
Phone (386) 717-3331

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS26163FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1891881983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ARROYO VISTA DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247988",
            "telephone_number": "386-717-3331",
            "fax_number": "386-740-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208636",
            "telephone_number": "386-734-5369",
            "fax_number": "386-740-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDEN",
        "first_name": "NICHOLAS",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS26163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.