Nicole Lyn Reiber Cacciola, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23342 Issued in NC

Practice address

3539 N Patterson Ave
Winston Salem, NC 27105-3658

Phone

(810) 985-2644

NPI assigned

Jul 27, 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 names 1

• Dr. Nicole Lyn Reiber 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": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1679915979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 N PATTERSON AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053658",
            "telephone_number": "810-985-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIOLA",
        "first_name": "NICOLE",
        "middle_name": "LYN REIBER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-27",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "REIBER",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cabarrus Rowan Community Health Centers, Inc.
• Cabarrus Rowan Community Health Centers, Inc.
• Cabarrus Rowan Community Health Centers, Inc.
• Faith Cabarrus
• April Cable, CRNA
• Erica Patrice Cagle, LCAS-A
• Lequisha Cagle
• Ginger Cahoon, MA, CCC-SLP
• Shelby Eloise Cahoon
• Andruw Hamilton Woodrow Cain, ACNPC-AG

• Pharmacist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.