Individual provider Active NPI

Nicole B Robertson, PHARMD

  • Pharmacist
  • Cullman, AL
National Provider Identifier
1356564629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14833 Issued in AL
Practice address
1910 Main Ave SW
Cullman, AL 35055-5219
Phone
(256) 734-1662
Fax
(256) 737-0682
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14833 AL Primary

Addresses

Primary practice location

1910 Main Ave SW
Cullman, AL 35055-5219

Mailing address

1910 Main Ave SW
Cullman, AL 35055-5219
Phone (256) 734-1662

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
14833ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bendall'S Pharmacy Inc. Pharmacist Current Accepting new patients
Pill Sisters Current Accepting new patients
Pill Sisters LLC Current Accepting new patients

Locations

1910 Main Ave SW
Cullman, AL 35055
Phone (256) 734-1662

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356564629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555219",
            "telephone_number": "256-734-1662",
            "fax_number": "256-737-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555219",
            "telephone_number": "256-734-1662",
            "fax_number": "256-737-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "NICOLE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.