Nicole L Abrams

Individual provider Active NPI Pharmacist · Merrick, NY

NPI 1013512920 · NPPES record last updated Dec 1, 2020

Key facts

NPI
1013512920
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
066578 (NY)
Practice address
2151 Johnston PL
Merrick, NY 11566-3608
Phone
(516) 378-2400
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
066578NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past
since Dec 6, 2020
Accepting new patients
CVS Albany LLC Past
since Dec 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066578 NY Yes

Addresses

Primary practice location

2151 Johnston PL
Merrick, NY 11566-3608

Mailing address

2151 Johnston PL
Merrick, NY 11566-3608
Phone (516) 378-2400

Other providers in Merrick, NY

All providers in Merrick, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.