Individual provider Active NPI

Nicole Barbara Pawlicki, PHARMD

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1982468849
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS66646 Issued in FL
Practice address
3680 N Wickham Rd Ste C
Melbourne, FL 32935-2327
Phone
(321) 608-4949
Fax
(321) 477-5407
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS66646 FL Primary

Addresses

Primary practice location

3680 N Wickham Rd Ste C
Melbourne, FL 32935-2327

Mailing address

190 Sagecrest Cir Apt 104
West Melbourne, FL 32904-8673
Phone (847) 848-4017

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS66646FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Z & G Pharmacy, LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

3680 N Wickham Rd
Ste C
Melbourne, FL 32935
Phone (321) 608-4949

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1982468849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SAGECREST CIR APT 104",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048673",
            "telephone_number": "847-848-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 N WICKHAM RD STE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352327",
            "telephone_number": "321-608-4949",
            "fax_number": "321-477-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLICKI",
        "first_name": "NICOLE",
        "middle_name": "BARBARA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS66646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.