Gary Alan Nickle, RPh
Pharmacist in Culpeper, VA. Individual provider (NPI-1).
NPI number1497350698
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1497350698
- Entity type
- Individual (NPI-1)
- Name
- Gary Alan Nickle
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
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 | 0202009130 | VA | Yes |
Practice location
150 Madison RdCulpeper, VA 22701-3405
Phone 540-825-8322 · Fax 540-829-8529
Mailing address
150 Madison RdCulpeper, VA 22701-3405
Phone 540-825-8322 · Fax 540-829-8529
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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