Active NPI
Nicole Lee Maier, PHARM. D
- Pharmacist
- Henderson, NV
National Provider Identifier
1982985909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17375
- Practice address
- 350 W Lake Mead Pkwy
Target Pharmacy Store #2404
Henderson, NV 89015-7379 - Phone
- (702) 216-1901
- Fax
- (702) 216-1911
- NPI assigned
- Sep 3, 2011
- Last updated
- Sep 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 17375 | NV | Primary |
Addresses
Primary practice location
350 W Lake Mead Pkwy
Target Pharmacy Store #2404
Henderson, NV 89015-7379
Mailing address
350 W Lake Mead Pkwy
Target Pharmacy Store #2404
Henderson, NV 89015-7379
Phone (702) 216-1901
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17375 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
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": "1315008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315008000000",
"number": "1982985909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W LAKE MEAD PKWY",
"address_2": "TARGET PHARMACY STORE #2404",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157379",
"telephone_number": "702-216-1901",
"fax_number": "702-216-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W LAKE MEAD PKWY",
"address_2": "TARGET PHARMACY STORE #2404",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157379",
"telephone_number": "702-216-1901",
"fax_number": "702-216-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIER",
"first_name": "NICOLE",
"middle_name": "LEE",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-03",
"last_updated": "2011-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.