JAKE NICHOLS (NPI# 1962731398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962731398 |
Entity Type | Individual |
Full Name | JAKE NICHOLS |
Credential | PHARM.D., MBA |
Practice Address |
41 Walnut St Natick MA 01760-2848 |
Practice Telephone | 6175296312 |
Mailing Telephone | 6175296312 |
Enumeration Date | 2009-12-14 |
Last Update Date | 2015-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
024752 | MA | Pharmacy Service Providers |
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
024752 | MA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | MASSACHUSETTS PHARMACY LICENSE | 024752 | 01 |
Street Address |
41 WALNUT ST |
City | NATICK |
State | MA |
Zip Code | 01760-2848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
1366927469 | Edith Siegel Wolfson | Social Worker | 2 Stagg Drive, Natick, MA 01760 | 2018-09-25 |
1447772801 | Soraia L Pinto | Registered Nurse | 10 Alden Street, Natick, MA 01760 | 2017-07-07 |
1003336264 | Aurora Counseling Associates | Counselor | 20 Main St. Suite 202, Natick, MA 01760 | 2017-06-20 |
1548790140 | Sally Miner Heerde | Speech-Language Pathologist | 38 Fairway Circle, Natick, MA 01760 | 2017-06-15 |
1962937516 | Michaela Rice | Behavior Technician | 841 Worcester Road, 102, Natick, MA 01760 | 2017-04-20 |
1831545375 | Nadia Nina Sayess | Counselor | 17 Morgan Drive, Apt 105, Natick, MA 01760 | 2016-05-13 |
1114398468 | Ruvarashe Swiswa | Social Worker | 251 W Central St Ste 25, Natick, MA 01760 | 2015-10-13 |
1669897153 | Simon Medical Service | Durable Medical Equipment & Medical Supplies | 16 Tech Circle, Natick, MA 01760 | 2014-02-20 |
1639418965 | Cfo Retail Services, LLC | Eyewear Supplier (Equipment, not the service) | 1245 Worcester Road, Natick Mall, Natick, MA 01760 | 2013-02-06 |
Find all providers in zip 01760 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730462938 | Nathaniel M Rickles | Pharmacist | 9 Doe Dr, Franklin, MA 02038-3237 | 2011-09-23 |
1740518844 | Michael C Charette | Pharmacist | 182 North Rd, Bedford, MA 01730-1024 | 2009-12-01 |
1689827677 | Peter David Anderson | Pharmacist | 816 Willard St, Apt. 207, Quincy, MA 02169-7496 | 2008-11-04 |
1972702553 | Stephen M Dolley | Pharmacist | Westborough State Hospital Department of Pharmacy, 288 Lyman St., Westborough, MA 01581 | 2007-07-13 |
1205833522 | Dean Michael Najarian | Pharmacist | 1771 West St, Wrentham, MA 02093-1817 | 2005-07-01 |
1033116595 | Robert Dennis Pitasi | Pharmacist | 3 Maria Ln, Hopkinton, MA 01748-2422 | 2005-06-30 |
1871590265 | Richard J Silvia | Pharmacist | 179 Longwood Ave, Boston, MA 02115-5804 | 2005-06-30 |
1295218501 | Seema Mitesh Patel | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-09-12 |
1184995573 | Karen M. Coderre | Pharmacist | 1 Monarch Pl, Suite 1500, Springfield, MA 01144-1500 | 2012-01-18 |
1013136191 | Kathleen Bungay | Pharmacist | 750 Washington St, The Health Institute, Box 345, Boston, MA 02111-1526 | 2007-04-25 |
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.