Jacqueline Nicole Nicola, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14238 Issued in SC

Practice address

214 Saint James Ave
Goose Creek, SC 29445-2974

Phone

(843) 553-3661

NPI assigned

Jul 16, 2013

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

Other identifiers 1

Other names 1

• Miss Jacqueline Nicole Clinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1609217959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 TOWNE ST",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553173",
            "telephone_number": "843-446-2610",
            "fax_number": "843-764-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SAINT JAMES AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452974",
            "telephone_number": "843-553-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "14238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOP",
            "identifier": "14238",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CLINGER",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Melissa Newsom, P.T.
• Anhthu Nguyen
• Trinh Tina Hue Nguyen
• NHC Charleston
• NHC Charleston
• NL & Jr Incorporated
• Caleb S Nobles, PT, DPT
• Jeffrey Thomas Noelcke, PT, DPT
• Carolyn Denise Ogrodnik
• Ohio Valley Physicians Inc

• Pharmacist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.