DR. TRINITY K NICHOLS (NPI# 1023326584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023326584 |
| Entity Type | Individual |
| Full Name | DR. TRINITY K NICHOLS |
| Credential | PHARMD |
| Practice Address |
67 Watson Dr Mantachie MS 38855-8390 |
| Mailing Address |
212 Hotzee Rd Mantachie MS 38855-8053 |
| Practice Telephone | 6622824245 |
| Mailing Telephone | 6622824245 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E09920 | MS | Pharmacy Service Providers |
| Street Address |
67 WATSON DR |
| City | MANTACHIE |
| State | MS |
| Zip Code | 38855-8390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487171971 | Ginger Little | Pharmacist | 67 Watson Dr, Mantachie, MS 38855-8390 | 2017-08-24 |
| 1750307328 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 67 Watson Dr, Mantachie, MS 38855 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1053885673 | Mantachie Rural Health Care, Inc | Clinic/Center | 311 Mustang Drive, Mantachie, MS 38855 | 2019-01-16 |
| 1992292536 | Mantachie Pharmacy LLC | Pharmacy | 3309 Highway 371 N, Mantachie, MS 38855 | 2018-04-19 |
| 1720589070 | Mantachie Rural Health Care Inc Behavioral Health | Clinic/Center | 5510 Hwy 363, Mantachie, MS 38855 | 2018-02-22 |
| 1962816447 | Travis Castleberry | Physical Therapist | 230a Main Street, Nettleton, MS 38855 | 2014-06-12 |
| 1891907093 | Community Family Healthcare, Inc | Nurse Practitioner | 285 Ivie Lane, Mantachie, MS 38855 | 2007-05-03 |
| 1497063085 | Jennifer Emily Bass | Specialist | 275 Morning View Lane, Mantachie, MS 38855-7096 | 2010-09-17 |
| 1780169557 | Andrea Carpenter | Nurse Practitioner | 3275 Highway 371 N, Mantachie, MS 38855-7145 | 2018-09-27 |
| 1164987426 | Hometown Care of Mantachie LLC | Nurse Practitioner | 3275 Highway 371 N, Mantachie, MS 38855-7145 | 2019-01-31 |
| 1851876627 | Kristi Diann Graves | Nurse Practitioner | 3275 Highway 371 N, Mantachie, MS 38855-7145 | 2018-09-27 |
| Find all providers in zip 38855 | ||||
| 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 |
|---|---|---|---|---|
| 1306330253 | Katlyn Spradling | Pharmacist | 3309 Highway 371 N, Mantachie, MS 38855-7267 | 2018-06-14 |
| 1487171971 | Ginger Little | Pharmacist | 67 Watson Dr, Mantachie, MS 38855-8390 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043192 | Craig Stephen Andreas Jr. | Pharmacist | 2230 Thousand Oaks Dr, Hernando, MS 38632-6622 | 2020-11-06 |
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1700487907 | Nancy Heyer Miles | Pharmacist | 5509 Highway 45 Alt S, West Point, MS 39773-0413 | 2020-11-04 |
| 1124628102 | Betsy Wicker Lindsey | Pharmacist | 1608 Smithdale Rd, Mccomb, MS 39648-2064 | 2020-10-28 |
| 1174123566 | Lisa Kincaid Odom | Pharmacist | 218 Woodland Hills Dr, Oxford, MS 38655-9770 | 2020-10-27 |
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1225637424 | Milagros H. Walker | Pharmacist | 2119 Lindhridge Dr, Gulfport, MS 39507-3765 | 2020-10-20 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1063023950 | Rianne Marie Jones | Pharmacist | 10252 Woodlands Dr, Biloxi, MS 39532-9518 | 2020-08-13 |
| 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.