Nicole Mairose
Individual provider Active NPI Pharmacist · Boonsboro, MD
NPI 1801767439 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1801767439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- T25728 (MD)
- Practice address
- 700 Chase Six Blvd
Boonsboro, MD 21713-2059 - Phone
- (301) 432-3953
- Fax
- (301) 432-3955
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T25728 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T25728 | MD | Yes |
Addresses
Primary practice location
700 Chase Six Blvd
Boonsboro, MD 21713-2059
Mailing address
1401 Haven Rd Apt T8
Hagerstown, MD 21742-3061
Phone (908) 878-1658
Other providers in Boonsboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. 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.