Active NPI
Jill F Nicoll, RPH
- Pharmacist
- Mandeville, LA
National Provider Identifier
1841404597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15174
- Practice address
- 2045 Highway 59
Mandeville, LA 70448-1909 - Phone
- (985) 626-9726
- Fax
- (985) 626-7919
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15174 | LA | Primary |
Addresses
Primary practice location
2045 Highway 59
Mandeville, LA 70448-1909
Mailing address
1340 Fairfield Dr
Mandeville, LA 70448-1054
Phone (985) 727-4712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15174 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841404597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 FAIRFIELD DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481054",
"telephone_number": "985-727-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 HIGHWAY 59",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481909",
"telephone_number": "985-626-9726",
"fax_number": "985-626-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLL",
"first_name": "JILL",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.