CLARENCE DEWEY NICHOLS (NPI# 1225598501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225598501 |
| Entity Type | Individual |
| Full Name | CLARENCE DEWEY NICHOLS |
| Practice Address |
225 Sw County Road 0020 Corsicana TX 75110-9313 |
| Mailing Address |
Po Box 1755 Corsicana TX 75151-1755 |
| Practice Telephone | 9038754955 |
| Practice Fax Number | 9038742108 |
| Mailing Telephone | 9038754955 |
| Mailing Fax Number | 9038742108 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 27013 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHARMACY BOARD | 27013 | 01 |
| Street Address |
225 SW COUNTY ROAD 0020 |
| City | CORSICANA |
| State | TX |
| Zip Code | 75110-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161750 | Christy Michelle Childers | Licensed Vocational Nurse | 118 S 31st Street, Corsicana, TX 75110 | 2018-10-30 |
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1780174383 | Nanine Marie Dickson | Counselor | 1522 N. 24th Corsicana, Tx, Corsicana, Tx, TX 75110 | 2018-05-18 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1033567862 | Matthew Oakden | Physical Therapist | 3201 West Tx-22, Corsicana, TX 75110 | 2016-06-02 |
| 1346682572 | Byron E. Advent | Optometrist | 105 W. 7th Ave, Suite 800, Corsicana, TX 75110 | 2013-07-30 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1245551423 | Care-a-lot Home Health Agency, Inc | Home Health | 1725 N. Beaton, Corsicana, TX 75110 | 2010-06-22 |
| 1063735561 | Tina Marie Hill | Physical Medicine & Rehabilitation | 3301 W. Park Row, Corsicana, TX 75110 | 2010-03-11 |
| Find all providers in zip 75110 | ||||
| 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 |
|---|---|---|---|---|
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1982046348 | Laura L Sladecek | Pharmacist | 2800 W State Highway 22, Corsicana, TX 75110-2454 | 2013-07-25 |
| 1841890589 | Tammy Eudora Shonuga | Pharmacist | 3801 W Highway 31, Corsicana, TX 75110-9211 | 2020-10-30 |
| 1598365546 | Annette Egbonim | Pharmacist | 3801 W Highway 31, Corsicana, TX 75110-9211 | 2020-10-29 |
| 1942800131 | Robert Neeley | Pharmacist | 3801 W Highway 31, Corsicana, TX 75110-9211 | 2020-10-28 |
| 1295335594 | Kelly Brown | Pharmacist | 3801 W Highway 31, Corsicana, TX 75110-9211 | 2020-10-27 |
| 1083223754 | Alyssa Brooke Janecka | Pharmacist | 201 S 15th St, Corsicana, TX 75110-5138 | 2020-07-28 |
| 1316483274 | Eneyine Ovezeyimi Sanni | Pharmacist | 201 S 15th St, Corsicana, TX 75110-5138 | 2017-01-16 |
| 1962950840 | Betty Prather | Pharmacist | 829 N Main St, Corsicana, TX 75110-3048 | 2016-09-20 |
| 1043768930 | Paula Trammell | Pharmacist | 829 N Main St, Corsicana, TX 75110-3048 | 2016-09-20 |
| Find all providers in CORSICANA | ||||
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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.