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Deactivated NPI 1003404690 Deactivated / Inactive NPI Male Practitioner

Fred Nichols

Pharmacist • Pearland, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Fred Nichols has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2021
NPI Deactivation Date June 18, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Fred Nichols was a registered Pharmacist practicing in Pearland, TX. Throughout an active medical career spanning 5 years, Fred Nichols provided care at the practice location at 9215 BROADWAY ST STE 113 until profile deactivation on 2026-06-18.

Practice Location & Contact Primary Location

Practice Address

9215 Broadway St Ste 113

Pearland, TX 775848987

Telephone 2817415825
Associated Practice Facility / Clinic
🏢 Cullen Care Pharmacy Inc Facility NPI 1326503137

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Pearland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Pearland, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 36546

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Anthony Essett , RPH

Pharmacy - Community/Retail Pharmacy

NPI 1982306536

Registered Pharmacist

James Dykes

Pharmacist

NPI 1992304505

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2026

Record deactivated on June 18, 2026

NPI Profile Active January 08, 2021

NPI status registered as active in NPPES database

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Updated Practice Location January 08, 2021

Registered at 9215 BROADWAY ST STE 113, PEARLAND, TX 775848987 (Tel: 2817415825)

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Updated Business Mailing Address January 08, 2021

Registered at 9215 BROADWAY ST STE 113, PEARLAND, TX 775848987 (Tel: 2817415825)

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Provider Name / Credentials Updated January 08, 2021

Recorded as FRED NICHOLS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Pharmacist (License #36546 in TX)

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Initial NPI Registration & Enumeration January 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003404690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2021
Last Update: January 08, 2021
Deactivation Date: June 18, 2026

Mailing Address

9215 Broadway St Ste 113

Pearland, TX 775848987

Phone: 2817415825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.