Nicole Dougherty, PHARMD
Individual provider Active NPI Pharmacist · Morris, MN
NPI 1346924776 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1346924776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 126025 (MN)
- Practice address
- 3 E Highway 28
Morris, MN 56267-1186 - Phone
- (320) 589-4550
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 126025 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past |
Accepting new patients | |
| Thrifty Drug Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 126025 | MN | Yes |
Addresses
Primary practice location
3 E Highway 28
Morris, MN 56267-1186
Mailing address
3 E Highway 28
Morris, MN 56267-1186
Phone (320) 589-4550
Other names
- Nicole Solvie
Other providers in Morris, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. 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.