Active NPI
Nichole Marie Waters, PHARMD
- Pharmacist
- Charleston, SC
National Provider Identifier
1275318834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44069
- Practice address
- 1401 Sam Rittenberg Blvd
Charleston, SC 29407-5031 - Phone
- (843) 852-2031
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 44069 | SC | Primary |
Addresses
Primary practice location
1401 Sam Rittenberg Blvd
Charleston, SC 29407-5031
Mailing address
2155 Morris Baker Blvd Apt 2425
North Charleston, SC 29406-4784
Phone (843) 475-5085
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 |
|---|---|---|---|
| 44069 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1275318834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 MORRIS BAKER BLVD APT 2425",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064784",
"telephone_number": "843-475-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075031",
"telephone_number": "843-852-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "NICHOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "SC",
"license": "44069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.