Nicole Renee Mahute, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS30518 Issued in FL

Practice address

6501 Caroline St
Milton, FL 32570-4582

Phone

(850) 623-0133

Fax

(850) 623-0133

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1831794320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704582",
            "telephone_number": "850-623-0133",
            "fax_number": "850-623-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704582",
            "telephone_number": "850-623-0133",
            "fax_number": "850-623-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHUTE",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Milton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Milton",
            "address_1": "6501 Caroline St",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325704582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Renee Lowe
• Lisa Lowery, LMHC, BCBA
• Christina Lundy
• Jessica Rene' Lunsford
• Dorothy Lynn Maben, LCSW
• Cynthia Maillet, RN
• Gloria Margarita Malpica Hamilton, FNP-C
• Carl Maltese, ARNP
• Annalisa Hope Marcantonio, LCSW
• Mike H Marcantonio, DMD

• Pharmacist in Milton, FL
• Providers in Milton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.