NICKAL INC (NPI# 1740354042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740354042 |
| Entity Type | Organization |
| Organization Name | NICKAL INC |
| Other Organization Name | PROSPECT PHARMACY |
| Practice Address |
171 S. Main St. Prospect OH 43342 |
| Mailing Address |
171 S Main St Po Box 68 Prospect OH 43342-9569 |
| Practice Telephone | 7404942663 |
| Practice Fax Number | 7404944087 |
| Mailing Telephone | 7404942663 |
| Mailing Fax Number | 7404944087 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | MR. TIMMY JON SHEEHAN (OWNER) |
| Authorized Official Telephone | 7404942663 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
02069125004609 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0871169 | 05 |
| Other Name | Type Code |
|---|---|
| Prospect Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417379595 | Nickal Inc | Pharmacy | 24 W Ottawa St, Richwood, OH 43344-1139 | 2014-01-09 |
| Street Address |
171 S. MAIN ST. |
| City | PROSPECT |
| State | OH |
| Zip Code | 43342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457584880 | Battle Run Fire District | Ambulance | 209 Battle Street, Prospect, OH 43342 | 2009-09-02 |
| 1487895967 | Prospect Family Medicine, Inc. | Clinic/Center | 102 Water Street, Prospect, OH 43342 | 2009-03-13 |
| 1568478626 | Mark John Piacentini | Legal Medicine | 102 E Water St, Prospect, OH 43342 | 2006-07-31 |
| 1093745861 | Virginia Chetverikov | Optometrist | 100 East Water St., Prospect, OH 43342 | 2006-07-04 |
| 1386084804 | Lindsay Seitter | Nurse Practitioner | 102 E Water St, Prospect, OH 43342 | 2013-06-28 |
| 1073687364 | Timmy Jon Sheehan | Pharmacist | 171 S Main St, Prospect, OH 43342 | 2006-11-20 |
| 1881852804 | Prospect Vision Care Inc | Optometrist | 100 E Water St, Prospect, OH 43342-0034 | 2008-05-27 |
| 1114551389 | Ashleigh Lauren Rovtar | Home Health Aide | 324 S Main St, Prospect, OH 43342-9304 | 2020-02-26 |
| 1679893986 | Martha Renae Stafford | Licensed Practical Nurse | 4714 Larue Prospect Rd S, Prospect, OH 43342-9543 | 2010-06-09 |
| 1912472812 | Michael Kapraly | Pharmacist | 171 S Main St, Prospect, OH 43342-9551 | 2018-10-06 |
| Find all providers in zip 43342 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1952316101 | Walgreen Co | Pharmacy | 5900 Timber Ridge Dr, Prospect, KY 40059-8131 | 2006-07-29 |
| 1750707725 | Prospect Pharmacy LLC | Pharmacy | 166 Waterbury Rd, 302, Prospect, CT 06712-1200 | 2014-03-13 |
| 1922162106 | Ezpharm Pharmacy | Pharmacy | 166 Waterbury Rd, Prospect, CT 06712-1200 | 2006-12-21 |
| 1437233566 | Ez Pharm LLC | Pharmacy | 166 Waterbury Rd, Prospect, CT 06712-1200 | 2006-10-25 |
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| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| 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.