Active NPI
Nicole Helene Fretwell, PHARMD
- Pharmacist
- Winter Garden, FL
National Provider Identifier
1184962656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49109
- Practice address
- 13275 W Colonial Dr
Winter Garden, FL 34787-3984 - Phone
- (407) 905-8827
- Fax
- (321) 221-1040
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49109 | FL | Primary |
Addresses
Primary practice location
13275 W Colonial Dr
Winter Garden, FL 34787-3984
Mailing address
212 E Main St
Tavares, FL 32778-3808
Phone (407) 614-5424
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS49109 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1184962656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E MAIN ST",
"city": "TAVARES",
"state": "FL",
"postal_code": "327783808",
"telephone_number": "407-614-5424",
"fax_number": "321-221-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13275 W COLONIAL DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873984",
"telephone_number": "407-905-8827",
"fax_number": "321-221-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRETWELL",
"first_name": "NICOLE",
"middle_name": "HELENE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
- Rhiannan Francis, MA, LMHC
- Frank Haberle Drake (WSCU Mental Health Services of Central Florida)
- Latricie Freeman, COTA/L
- Joshua Freemyer, D.C.
- Juliano Freitas, PHD
- Friends With Love Home Care Services LLC
- Carey Theresa Fromberg
- Anthony Serop Froyan
- Fulcrum Clinical Laboratories, Inc
- Fully Alive Homecare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.