Nicole Carver, PHARM D
Individual provider Active NPI Pharmacist · Macon, MO
NPI 1700226115 · NPPES record last updated Jun 29, 2013
Key facts
- NPI
- 1700226115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2013019543 (MO)
- Practice address
- 402 E Briggs Dr
Macon, MO 63552-1982 - Phone
- (660) 385-2147
- NPI assigned
- Jun 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013019543 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Cross Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013019543 | MO | Yes |
Addresses
Primary practice location
402 E Briggs Dr
Macon, MO 63552-1982
Mailing address
402 E Briggs Dr
Macon, MO 63552-1982
Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2013. 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.