JAKE NICHOLS


Address: 41 Walnut St, Natick, MA 01760-2848
Phone: 6175296312

JAKE NICHOLS (NPI# 1962731398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MA MASSACHUSETTS PHARMACY LICENSE 024752 01

Office Location

Street Address 41 WALNUT ST
City NATICK
State MA
Zip Code 01760-2848

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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
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Taxonomy Information

Taxonomy Code 1835P1300X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Psychiatric

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City NATICK
Zip Code 01760

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Dataset Information

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.

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