Cheryl A Nicolay, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS20379 Issued in FL

Practice address

24170 US Highway 27
Lake Wales, FL 33859-7801

Phone

(863) 676-7569

Fax

(863) 676-7937

NPI assigned

May 28, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1013236140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HAMILTON SHORES DR NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815711",
            "telephone_number": "863-295-9227",
            "fax_number": "863-676-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24170 US HIGHWAY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597801",
            "telephone_number": "863-676-7569",
            "fax_number": "863-676-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAY",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS20379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.