John Nivison, pharmacist
Pharmacist in Prineville, OR. Individual provider (NPI-1).
NPI number1316355357
StatusActive
Last updated in NPPESJul 22, 2014
Details
- NPI
- 1316355357
- Entity type
- Individual (NPI-1)
- Name
- John Nivison
- Credential
- pharmacist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2014
- Last updated
- Jul 22, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5790 | OR | Yes |
Practice location
2091 Ne 3rd StPrineville, OR 97754-8130
Phone 541-447-0395
Mailing address
20452 Pine Vista DrBend, OR 97702-9437
Phone 541-420-5329
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All 11 Pharmacist providers in Prineville · All 478 providers in Prineville
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