KYLE NICHOLS (NPI# 1245660182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245660182 |
| Entity Type | Individual |
| Full Name | KYLE NICHOLS |
| Credential | PHARM.D |
| Practice Address |
2322 Highway 17 Iberia MO 65486-9115 |
| Practice Telephone | 5737932050 |
| Mailing Telephone | 5737922050 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2011021456 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652654 | Kyle Wayne Nichols | Optometrist | 111 Ash St, Tunkhannock, PA 18657-6920 | 2020-06-01 |
| 1114316197 | Kyle Gerald Boyd Nichols | Counselor | 131 S Division St, Spokane, WA 99202-1510 | 2015-01-14 |
| 1659671469 | Kyle James Nichols | Counselor | 547 Dayton St, Edmonds, WA 98020-3431 | 2010-10-26 |
| 1194041285 | Kyle B Nichols | Anesthesiology | 9200 W Wisconsin Ave, Dept of Anesthesiology, Milwaukee, WI 53226-3522 | 2010-04-14 |
| Street Address |
2322 HIGHWAY 17 |
| City | IBERIA |
| State | MO |
| Zip Code | 65486-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467571968 | Carl Sylvester Roberts Jr. | Family Medicine | 101e Main St, Iberia, MO 65486 | 2007-03-28 |
| 1104853050 | Margaret C Hart | Nurse Practitioner | 2333 Highway 17, Iberia, MO 65486 | 2006-06-27 |
| 1093058034 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2322 Hwy 17, Iberia, MO 65486-0000 | 2013-03-28 |
| 1750402194 | Iberia R-v School District | Local Education Agency (LEA) | 201 Pemberton Dr, Iberia, MO 65486-0156 | 2007-04-03 |
| 1922052091 | Steven Edwin Reenan | Counselor | 986 Highway A, Iberia, MO 65486-8242 | 2006-05-21 |
| 1700332020 | Brian Herzog | Music Therapist | 451 Tavern Creek Rd, Iberia, MO 65486-9193 | 2016-08-28 |
| 1952300923 | Clemens E. Haggerty | General Practice | 2333 Highway 17, Iberia, MO 65486-9331 | 2005-07-20 |
| 1841749660 | Chelsie Deardeuff | Nurse Practitioner | 2333 Highway 17, Iberia, MO 65486-9331 | 2016-09-22 |
| 1891018784 | Lake Regional Health System | Clinic/Center | 2333 Highway 17, Iberia, MO 65486-9331 | 2010-03-05 |
| 1164515029 | Gary N Thomsen | Family Medicine | 2333 Highway 17, Iberia, MO 65486-9331 | 2006-10-02 |
| Find all providers in zip 65486 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902777 | Kimberly Rachelle Troha | Pharmacist | 605 S Jewel Ct, Nixa, MO 65714-7590 | 2020-11-06 |
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1386245108 | Stephanie Mummert | Pharmacist | 404 Nw Highcliffe Dr, Lees Summit, MO 64081-2061 | 2020-11-06 |
| 1023619038 | William Molenaar | Pharmacist | 18401 State Hwy 13, Branson West, MO 65737 | 2020-11-05 |
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1457952624 | Brian Gregory Young | Pharmacist | 185 St.robert Blvd, St. Robert, MO 65584-6558 | 2020-11-04 |
| 1013518224 | Brian James Voss | Pharmacist | 512 Deer Pointe Ct, Fenton, MO 63026-3061 | 2020-11-04 |
| 1730780917 | Amy Benson | Pharmacist | 5100 N Towne Centre Dr, Ozark, MO 65721-7479 | 2020-11-04 |
| 1952902355 | Aaron Kate Menley | Pharmacist | 2025 West Business Highway 60, Dexter, MO 63841-6384 | 2020-11-03 |
| 1447851043 | Elizabeth Ahrens | Pharmacist | 625 Sw Us Highway 40, Blue Springs, MO 64014-3232 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.