Active NPIIndividual provider

Jake Nichols, PHARMD, MBA

Pharmacist, Psychiatric in Natick, Massachusetts

NPI Number1962731398
Practice location
41 Walnut St, Natick, MA 01760-2848
Fax
—
Last updated
October 7, 2015

Jake Nichols is a Pharmacist, Psychiatric based in Natick, MA. Jake Nichols practices in Natick, MA and has the professional credentials of PHARMD, MBA. The NPI Number for Jake Nichols is 1962731398 and holds a License No. 024752 (MA). The current practice location address for Jake Nichols is 41 Walnut St, Natick, MA 01760-2848 and can be reached out via phone at 617-529-6312.

Provider Profile Details

NPI Number
1962731398
Provider Name
Jake Nichols
Credential
PHARMD, MBA
Provider Entity Type
Individual
Gender
Male
Address
41 Walnut St, Natick, MA 01760-2848
Phone Number
617-529-6312
Primary Taxonomy
Pharmacist, Psychiatric · 1835P1300X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2009
Last Update Date
October 7, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Walnut St
Natick, MA 01760-2848
City
Natick
Zip
01760-2848
Phone Number
617-529-6312
Natick, MA 01760Get directions →

Provider Business Mailing Address Details

Address
41 Walnut St
Natick, MA 01760-2848
City
Natick
State
MA
Zip
01760-2848
Phone Number
617-529-6312

License Information

License Number (1)
024752
License State (1)
MA
Taxonomy (1)
Pharmacist, Psychiatric · 1835P1300X · Primary
License Number (2)
024752
License State (2)
MA
Taxonomy (2)
Pharmacist, Pharmacotherapy · 1835P1200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jake Nichols, PHARMD, MBA?

The NPI number of Jake Nichols, PHARMD, MBA is 1962731398. It was assigned on December 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Jake Nichols, PHARMD, MBA?

Jake Nichols, PHARMD, MBA is registered under the primary taxonomy Pharmacist, Psychiatric (code 1835P1300X), licensed in MA under license number 024752.

Where does Jake Nichols, PHARMD, MBA practice?

The practice location is 41 Walnut St, Natick, MA 01760-2848. The office can be reached at 617-529-6312 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962731398 directly on the NPPES registry website.

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