Individual provider Active NPI

Nicole Bratton, PHARMD

  • Pharmacist
  • Royal Oak, MI
National Provider Identifier
1942800503
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034653 Issued in MI
Practice address
1041 S Main St
Royal Oak, MI 48067-3274
Phone
(248) 280-6401
Fax
(248) 280-6411
NPI assigned
Oct 31, 2020
Last updated
Oct 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302034653 MI Primary

Addresses

Primary practice location

1041 S Main St
Royal Oak, MI 48067-3274

Mailing address

1041 S Main St
Royal Oak, MI 48067-3274
Phone (248) 280-6401

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

LicenseStateTypeSpecialty
5302034653MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Zawaideh Medical Center PC CurrentSince Nov 8, 2020 Accepting new patients
ZMC Pharmacy LLC PastSince Nov 8, 2020 Accepting new patients

Locations

1041 S Main St
Royal Oak, MI 48067
Phone (248) 280-6400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1942800503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673274",
            "telephone_number": "248-280-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673274",
            "telephone_number": "248-280-6401",
            "fax_number": "248-280-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTON",
        "first_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.