Individual provider Active NPI

Nicole Elizabeth Schmidt, PHARMD

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1164946554
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2017029957 Issued in MO
Practice address
60 Hampton Village PLZ
Saint Louis, MO 63109
Phone
(314) 832-7700
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2017029957 MO Primary

Addresses

Primary practice location

60 Hampton Village PLZ
Saint Louis, MO 63109

Mailing address

1344 Briar Path CT
Columbia, IL 62236-2752
Phone (618) 973-6699

Other practice location 1

201 S Main St
Greenville, KY 42345-1507
Phone (270) 338-4241

Other practice location 2

201 S Main St
Greenville, KY 42345-1507
Phone (270) 338-4241

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

LicenseStateTypeSpecialty
2017029957MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1164946554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 BRIAR PATH CT",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362752",
            "telephone_number": "618-973-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HAMPTON VILLAGE PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-832-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451507",
            "country_code": "US",
            "telephone_number": "270-338-4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451507",
            "country_code": "US",
            "telephone_number": "270-338-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017029957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.