Active NPI
Nikole Loren Roesler, PHARMD
- Pharmacist
- Hendersonville, TN
National Provider Identifier
1922771542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45419
- Practice address
- 198 E Main St
Hendersonville, TN 37075-2520 - Phone
- (615) 264-3583
- NPI assigned
- Jul 29, 2021
- Last updated
- Jul 29, 2021
- 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 | 45419 | TN | Primary |
Addresses
Primary practice location
198 E Main St
Hendersonville, TN 37075-2520
Mailing address
1114A Chester Ave
Nashville, TN 37206-2222
Phone (502) 648-2196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45419 | Other | TN | PHARMACIST |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45419 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1922771542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114A CHESTER AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372062222",
"telephone_number": "502-648-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 E MAIN ST",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752520",
"telephone_number": "615-264-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESLER",
"first_name": "NIKOLE",
"middle_name": "LOREN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "45419",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.