Nicole D Allie, PHARMD, CGP
Individual provider Active NPI Geriatric Pharmacist · Watertown, MA
NPI 1104933936 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1104933936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- 26201 (MA)
- Practice address
- 485 Arsenal St
Hvma Pharmacy Administration
Watertown, MA 02472-5091 - Phone
- (617) 972-5329
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26201 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 26201 | MA | Yes |
Addresses
Primary practice location
485 Arsenal St
Hvma Pharmacy Administration
Watertown, MA 02472-5091
Mailing address
25 Wildwood Rd
Pembroke, MA 02359-2535
Other providers in Watertown, MA
- Brenda Allair
- Allen K. Niukian D.M.D.
- Melanie Allen-Salort
- Jennifer Allen
- Rebecca Alleyne Holtzclaw
- Mohammed Talal Almalki
- Abubaker Alwahab
- Jairo Matthew Amarillo
- Matthew E Amato
- American Dental of Watertown
All providers in Watertown, MA · Geriatric Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.