Nicole Hall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

15899 Issued in AL

Practice address

18530 Florida St
Robertsdale, AL 36567

Phone

(251) 947-7378

Fax

(251) 947-7394

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Lee Drug Store, Inc.

  • Pharmacist
  • Robertsdale, AL
  • NPI 1568480507
  NPD (past)

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1487311569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365670929",
            "telephone_number": "251-947-7378",
            "fax_number": "251-947-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 FLORIDA ST",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-7378",
            "fax_number": "251-947-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Don Faison, LPC
• Jeannie Lee Fleek, LPC
• Stacie Renee Franklin
• Leyla Mariel Gomez Olmedo, SLP
• Evie Hackney
• Jeremy Alan Hardy, D.M.D.
• Rachael Hartman, DPT
• Baylee Hathcock, FNP-C
• Amy Michelle Henderson, CCC-SLP
• Emily Faith Hobbs

• Pharmacist in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.