Isaac Nichols, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19159 Issued in OK

Practice address

1621 S Division St
Guthrie, OK 73044-5020

Phone

(405) 260-1574

Fax

(405) 260-1643

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Male

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #10916

  • Pharmacy
  • Guthrie, OK
  • NPI 1902098775
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1922683416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445020",
            "telephone_number": "405-260-1574",
            "fax_number": "405-260-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445020",
            "telephone_number": "405-260-1574",
            "fax_number": "405-260-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Mungai, LPC-S
• Tyler Matthew Murry, DPT
• My Ability Speech Therapy LLC
• Keri Myers, OTR/L
• Kyle Andrew Nettleingham, PHARM.D.
• Cynthia Alice Nolen, CCC-SLP
• Elaina Noll
• North Oklahoma County Mental Health Center (NorthCare)
• North Oklahoma County Mental Health Center
• Dan Nunley

• Pharmacist in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.