Active NPIIndividual provider

Dr. Nicole S Henderson, PHARMD

Pharmacist in Revere, Massachusetts

NPI Number1801116504
Practice location
653 Squire RD, Revere, MA 02151-1866
Fax
—
Last updated
June 3, 2010

Nicole Sandra Henderson is a Pharmacist based in Revere, MA. Nicole Sandra Henderson practices in Revere, MA and has the professional credentials of PHARMD. The NPI Number for Nicole Sandra Henderson is 1801116504 and holds a License No. 27493 (MA). The current practice location address for Nicole Sandra Henderson is 653 Squire RD, Revere, MA 02151-1866 and can be reached out via phone at 781-289-0682.

Provider Profile Details

NPI Number
1801116504
Provider Name
Nicole Sandra Henderson
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
653 Squire RD, Revere, MA 02151-1866
Phone Number
781-289-0682
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2010
Last Update Date
June 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
653 Squire RD
Revere, MA 02151-1866
City
Revere
Zip
02151-1866
Phone Number
781-289-0682
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
653 Squire RD
Revere, MA 02151-1866
City
Revere
State
MA
Zip
02151-1866
Phone Number
721-289-0682

License Information

License Number
27493
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicole S Henderson, PHARMD?

The NPI number of Dr. Nicole S Henderson, PHARMD is 1801116504. It was assigned on June 3, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole S Henderson, PHARMD?

Dr. Nicole S Henderson, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number 27493.

Where does Dr. Nicole S Henderson, PHARMD practice?

The practice location is 653 Squire RD, Revere, MA 02151-1866. The office can be reached at 781-289-0682 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801116504 directly on the NPPES registry website.

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