Active NPI
Nicole Andrea Spencer, PHARMD
- Pharmacist
- Boonville, IN
National Provider Identifier
1356973895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26024415A
- Practice address
- 1115 American Way
Boonville, IN 47601-8604 - Phone
- (812) 897-0089
- NPI assigned
- Feb 11, 2020
- Last updated
- Feb 11, 2020
- 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 | 26024415A | IN | Primary |
Addresses
Primary practice location
1115 American Way
Boonville, IN 47601-8604
Mailing address
3801 Sandstone CT
Evansville, IN 47711-7746
Phone (812) 550-4668
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 |
|---|---|---|---|
| 26024415A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1356973895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 SANDSTONE CT",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477117746",
"telephone_number": "812-550-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 AMERICAN WAY",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476018604",
"telephone_number": "812-897-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "NICOLE",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024415A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonville, IN
- Stephen R Shoemaker, D.O.
- Jacqueline Small, FNP
- Southern Indiana Resource Solutions, Inc.
- Southern Indiana Resource Solutions, Inc.
- Southwind Healthcare Inc
- St Marys Warrick Emergency Medical Services Inc
- St. Mary's Health, Inc. (St. Vincent Evansville Urgent Care -Boonville)
- St. Mary's Health, Inc. (Ascension St. Vincent Warrick EMS)
- St. Mary's Warrick Hospital, Inc
- St. Mary's Warrick Hospital, Inc. (Ascension St. Vincent Warrick)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.