Active NPI
Nicole Willis Sewell, PHARM.D.
- Pharmacist
- Marianna, FL
National Provider Identifier
1003487562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62560
- Practice address
- 4478 Market St
Marianna, FL 32446-3441 - Phone
- (850) 526-1800
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS62560 | FL | Primary |
Addresses
Primary practice location
4478 Market St
Marianna, FL 32446-3441
Mailing address
4831 Damascus Church Rd
Graceville, FL 32440-4515
Phone (850) 326-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS62560 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1003487562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 DAMASCUS CHURCH RD",
"city": "GRACEVILLE",
"state": "FL",
"postal_code": "324404515",
"telephone_number": "850-326-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4478 MARKET ST",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324463441",
"telephone_number": "850-526-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "NICOLE",
"middle_name": "WILLIS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.