Nicole Jewel Pryor

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202211391 Issued in VA

Practice address

700 Merrimac TRL
Williamsburg, VA 23185-5351

Phone

(757) 258-4450

Fax

(757) 258-5574

NPI assigned

Dec 24, 2020

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

State licenses

Practice roles

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.

• Virginia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Williamsburg, VA
  • NPI 1508960279
  NPD (past)
• Virginia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Sterling, VA
  • NPI 1689558371
  NPD (past)

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1083201057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MERRIMAC TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855351",
            "telephone_number": "757-258-4450",
            "fax_number": "757-258-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MERRIMAC TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855351",
            "telephone_number": "757-258-4450",
            "fax_number": "757-258-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "NICOLE",
        "middle_name": "JEWEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Probert, PA-C
• Paige C Proctor, PA
• Christen Hamilton Proffitt, C-FNP
• Teresa Dotson Prokup, CCC/SLP
• Deborah D Prosek, RPH.
• Megan A Przybysz, CRNA
• Brittany Stroud Ptachick, FNP
• Publix North Carolina, LP
• Richard A Pugliese, DDS
• Kimberly Dawn Pully, OTR/L

• Pharmacist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.