Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnathan Nilsen, RPH

Individual provider Pharmacist · NPI 1740799436

Johnathan Nilsen, RPH is a Pharmacist in Hercules, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1560 Sycamore Ave
Hercules, CA 94547-1701
Phone: (510) 799-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 77320 (CA)

Record details

NPI number1740799436
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017
Mailing address1560 Sycamore Ave, Hercules, CA 94547-1701

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