MS. PATRICIA KIEFFER NICHOLSON (NPI# 1629678073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629678073 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA KIEFFER NICHOLSON |
| Practice Address |
427 Highway 425 N Monticello AR 71655-4015 |
| Mailing Address |
119 Scenic Dr Monticello AR 71655-9491 |
| Practice Telephone | 8703673559 |
| Practice Fax Number | 8703675086 |
| Mailing Telephone | 8707231385 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD06965 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386702652 | Patricia Ann Nicholson | Physician Assistant | 224b Cornwall St Nw, Loudoun Free Clinic, Leesburg, VA 20176-2701 | 2006-12-05 |
| 1821032426 | Patricia Diane Nicholson | Nurse Practitioner | 104 W. Rochester Street, Akron, IN 46910 | 2006-06-15 |
| 1174014088 | Patricia Nicholson | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2018-05-25 |
| 1467718767 | Patricia P Nicholson | Registered Nurse | 2024 Creston Ave, 3rd Floor, Bronx, NY 10453-4244 | 2012-04-11 |
| Street Address |
427 HIGHWAY 425 N |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568458677 | Robert Charles Horn | Pharmacist | 427 Highway 425 N, Monticello, AR 71655-4015 | 2005-09-23 |
| 1619577293 | Samantha Lang | Pharmacist | 427 Highway 425 N, Monticello, AR 71655-4015 | 2020-10-31 |
| 1912473679 | Brandon Taylor Rhoads | Pharmacist | 427 Highway 425 N, Monticello, AR 71655-4015 | 2018-10-21 |
| 1609893080 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 427 Highway 425 N, Monticello, AR 71655-4015 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| 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 |
|---|---|---|---|---|
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1487139291 | Gordon Elvis Parmley | Pharmacist | 198 Dockview Rd, Monticello, KY 42633-5499 | 2018-09-27 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1376077792 | Kristin Mary Theisen | Pharmacist | 12099 Blackwood Ave Nw, Monticello, MN 55362-3300 | 2017-04-12 |
| 1700326774 | Katie Peterich Head | Pharmacist | 349 E Bluebird Rd, Monticello, FL 32344-6744 | 2017-02-24 |
| 1760939755 | Frances Surles | Pharmacist | 1247 S Jefferson St, Monticello, FL 32344-7803 | 2016-09-07 |
| 1902211550 | Laura Ann Roberts | Pharmacist | 978 N Main St, Monticello, KY 42633-1500 | 2014-06-23 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
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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.