Nicole Marie Foust, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26021531A Issued in IN

Practice address

6542 Reflection Dr
Apt 1441
San Diego, CA 92124-5120

Phone

(317) 869-7333

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Marie Pederson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871718916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 REFLECTION DR",
            "address_2": "APT 1441",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921245120",
            "telephone_number": "317-869-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 REFLECTION DR",
            "address_2": "APT 1441",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921245120",
            "telephone_number": "317-869-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUST",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021531A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSES",
            "identifier": "26021531A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PEDERSON",
            "middle_name": "MARIE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Four Seasons Sisterhood Licensed Marrriage and Family Therapy, Inc
• Chrystal Marie Fournier, N.P.
• Raelyn Ritchie Fournier, PA-C
• Diana Foust, NP-C
• Michael Glenn Foust, D.D.S.
• Jason Fout
• Dewey K Foutz III, PHARMD, PHC
• Ashley Fowler
• Blake Fowler, M.D.
• Britni Danel Fowler, PMHNP

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• 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.

Verify at the official NPI Registry.