Nikole Cain, RPH
Individual provider Active NPI Pharmacist · Demotte, IN
NPI 1508460718 · NPPES record last updated Nov 28, 2020
Key facts
- NPI
- 1508460718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26019271A (IN)
- Practice address
- 310 N Halleck St
Demotte, IN 46310-9419 - Phone
- (219) 987-3301
- Fax
- (219) 987-3353
- NPI assigned
- Nov 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019271A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019271A | IN | Yes |
Addresses
Primary practice location
310 N Halleck St
Demotte, IN 46310-9419
Mailing address
6364 W State Road 14
Rensselaer, IN 47978-7416
Phone (219) 869-5723
Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2020. 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.