NICHOLAS SELBY


Address: 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506
Phone: 2604857998

NICHOLAS SELBY (NPI# 1467005991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467005991
Entity Type Individual
Full Name NICHOLAS SELBY
Practice Address 6220 Saint Joe Center Rd
Fort Wayne
IN 46835-2506
Practice Telephone 2604857998
Mailing Telephone 2604857998
Enumeration Date 2019-07-23
Last Update Date 2019-08-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 26027494A IN Pharmacy Service Providers
N 183500000X Pharmacist 051300874 IL Pharmacy Service Providers
N 183500000X Pharmacist 260274948 IN Pharmacy Service Providers

Other Providers NICHOLAS SELBY

NPI Name Taxonomy Address Enumeration
1144346271 Nicholas Nmn Selby Optometrist 9516 Miramar Rd, San Diego, CA 92126-4533 2007-03-21

Office Location

Street Address 6220 SAINT JOE CENTER RD
City FORT WAYNE
State IN
Zip Code 46835-2506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720603368 Angela Nichter Pharmacist 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2020-06-09
1679129332 Vishrut Desai Pharmacist 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760993810 Longe Enterprises Corp Eyewear Supplier (Equipment, not the service) 5711 Ymca Park Dr East, Fort Wayne, IN 46835 2017-10-17
1801144464 Tracey Gordon Physical Therapy Assistant 2827 Northgate Boulevard, Fort Wayne, IN 46835 2012-08-29
1316179682 Janet L Daniel Counselor 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 2009-08-20
1083868863 Nicholas Joseph Sullivan Chiropractor 8320 Chapel Bend Drive, Fort Wayne, IN 46835 2008-11-06
1497922090 Michelle A Bailey Registered Nurse 6108 Maplecrest Road, Fort Wayne, IN 46835 2008-05-13
1073789954 Charles Arthur Bolinger Technician, Other 4546 Maplecrest Rd, Ft Wayne, IN 46835 2008-05-01
1851469878 Richard J Klaehn Optometrist 4536 Maplecrest Road, Ft. Wayne, IN 46835 2006-11-30
1639272339 Hook Superx LLC Durable Medical Equipment & Medical Supplies 6220 St Joseph Center Rd, Fort Wayne, IN 46835 2006-09-07
1275649014 Adrienne Meyer Pharmacist 7909 Brixham Place, Fort Wayne, IN 46835 2006-08-22
1750378147 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 4430 Elsdale Dr, Fort Wayne, IN 46835 2005-09-30
Find all providers in zip 46835

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1528677622 Leslie Renee Siegel Pharmacist 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 2020-07-24
1962048140 Andrew Quang Tran Pharmacist 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-11-21
1215427042 Jerry Eugene Falls Pharmacist 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 2018-05-17
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1063900611 Juliette Peters Pharmacist 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 2018-04-30
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1790238350 Karleen Goodwin Pharmacist 3964 New Vision Dr, Fort Wayne, IN 46845-1712 2016-08-01
1699131300 Brent Alan Losier Pharmacist 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 2016-01-11
1902273444 Brian Bates Pharmacist 5005 Iris Ave, Apt 421, Fort Wayne, IN 46825-2772 2015-09-01
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46835

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Dataset Information

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.

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