Nicole Adams, PHARMD.
Individual provider Active NPI Pharmacist · Leesburg, FL
NPI 1811364979 · NPPES record last updated Aug 25, 2015
Key facts
- NPI
- 1811364979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS53858 (FL)
- Practice address
- 27440 US Highway 27
Leesburg, FL 34748-8291 - Phone
- (352) 728-8083
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| PS53858 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS53858 | FL | Yes |
Addresses
Primary practice location
27440 US Highway 27
Leesburg, FL 34748-8291
Mailing address
3771 Grandewood Blvd Apt 232
Orlando, FL 32837-7349
Phone (850) 284-1992
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2015. 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.