Nicole Piacentini Tittermary, PHARMD
Individual provider Active NPI Pharmacist · Prospect, OH
NPI 1306386479 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1306386479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03129356 (OH)
- Practice address
- 171 S Main St
Prospect, OH 43342-9551 - Phone
- (740) 494-2663
- NPI assigned
- Mar 8, 2017
- 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 |
|---|---|---|---|
| 03129356 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03129356 | OH | Yes |
Addresses
Primary practice location
171 S Main St
Prospect, OH 43342-9551
Mailing address
171 S Main St
Prospect, OH 43342-9551
Phone (740) 494-2663
Other providers in Prospect, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. 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.