Active NPI
Nadine Alison Decambre, PHARMD
- Pharmacist
- Port Saint Lucie, FL
National Provider Identifier
1669143939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28044
- Practice address
- 1954 SW Gatlin Blvd
Port Saint Lucie, FL 34953-2722 - Phone
- (772) 224-3020
- NPI assigned
- Sep 25, 2021
- Last updated
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 | PS28044 | FL | Primary |
Addresses
Primary practice location
1954 SW Gatlin Blvd
Port Saint Lucie, FL 34953-2722
Mailing address
5238 NW Jake CT
Port Saint Lucie, FL 34986-2717
Phone (954) 704-4606
Other practice location 1
5755 20th St
Vero Beach, FL 32966-4636
Phone (772) 778-1772
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 |
|---|---|---|---|
| PS28044 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1954 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 224-3020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1669143939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5238 NW JAKE CT",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862717",
"telephone_number": "954-704-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 SW GATLIN BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349532722",
"telephone_number": "772-224-3020"
}
],
"practiceLocations": [
{
"address_1": "5755 20th St",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329664636",
"country_code": "US",
"telephone_number": "772-778-1772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECAMBRE",
"first_name": "NADINE",
"middle_name": "ALISON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-25",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.