Active NPI
Corbin Nichol
- Pharmacist
- Ankeny, IA
National Provider Identifier
1972127066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23724
- Practice address
- 410 N Ankeny Blvd
Ankeny, IA 50023-1753 - Phone
- (515) 964-9464
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23724 | IA | Primary |
Addresses
Primary practice location
410 N Ankeny Blvd
Ankeny, IA 50023-1753
Mailing address
16696 Wilden Dr
Clive, IA 50325-1344
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 |
|---|---|---|---|
| 23724 | IA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1972127066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16696 WILDEN DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503251344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N ANKENY BLVD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500231753",
"telephone_number": "515-964-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOL",
"first_name": "CORBIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.