DR. DANIEL KEITH NICKELL (NPI# 1609284439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609284439 |
| Entity Type | Individual |
| Full Name | DR. DANIEL KEITH NICKELL |
| Credential | PHARM.D |
| Practice Address |
650 Beebalm Ln Ste 220 Garland TX 75040-2955 |
| Practice Telephone | 6156873601 |
| Mailing Telephone | 6156873601 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 019700 | KY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP452150 | PA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 62030 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 38150 | TN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH027986 | GA | Pharmacy Service Providers |
| Street Address |
650 BEEBALM LN STE 220 |
| City | GARLAND |
| State | TX |
| Zip Code | 75040-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1356838981 | Firewheel Pediatric Dental Specialists Pllc | Dentist | 4880 N President George Bush Hwy Ste 104, Garland, TX 75040 | 2018-04-19 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1073038089 | Ashakrishna Nair | Nurse Practitioner | 5702 Lavon Drive, Cvs, Garland, TX 75040 | 2017-08-10 |
| 1336672856 | Rosialyllc Dba Garland Adult Care Center | Clinic/Center | 3845 N. Garland Ave, 700b, Garland, TX 75040 | 2017-04-11 |
| 1699211276 | Yishak Yemane Abebu | Non-emergency Medical Transport (VAN) | 1502 Townbluff St., Garland, TX 75040 | 2017-01-06 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1265893275 | A1 Hospice Care LLC | Hospice Care, Community Based | 317 Still Meadow Drive, Garland, TX 75040 | 2016-03-18 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1972990901 | Turnpike Vision, PC | Optometrist | 485 Cedar Sage Space J13, Garland, TX 75040 | 2015-04-16 |
| Find all providers in zip 75040 | ||||
| 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 |
|---|---|---|---|---|
| 1639780448 | Vincent V Nguyen | Pharmacist | 1517 Burgundy St, Garland, TX 75040-4653 | 2020-08-14 |
| 1295386290 | Ashley Dawn Wade | Pharmacist | 1749 W Campbell Rd Apt 8302, Garland, TX 75044-2390 | 2019-09-23 |
| 1891284659 | Farrell David Fort | Pharmacist | 2360 Crist Rd Ste 1400, Garland, TX 75040-3715 | 2018-05-08 |
| 1184083511 | Iman Ramadan | Pharmacist | 2636 W Walnut St Ste 300, Garland, TX 75042-6441 | 2016-02-12 |
| 1841695749 | Pharmax Pharmacy LLC | Pharmacist | 3504 W Walnut St, Garland, TX 75042-6234 | 2014-11-04 |
| 1851711097 | Ugochukwu Okafor | Pharmacist | 1021 Green Pond Dr, Garland, TX 75040-1076 | 2014-04-25 |
| 1508284647 | Kendra Prevost | Pharmacist | 3313 Creek Meadow Ln, Garland, TX 75040-2852 | 2014-04-05 |
| 1790093151 | Ami K Padhiar | Pharmacist | 315 N Shiloh Rd # 102-b, Garland, TX 75042-6620 | 2010-09-20 |
| 1336464791 | Eun Lee | Pharmacist | 3010 Bluffview Dr, Garland, TX 75043-1452 | 2010-03-29 |
| 1407099021 | John Rhea Ohnemiller | Pharmacist | 5709 Harbor Town Dr, Garland, TX 75044-4950 | 2009-04-13 |
| Find all providers in GARLAND | ||||
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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.