Dr Shelly R Nickerson, PHARMD is a
Pharmacist based in Gothenburg, Nebraska. Dr Shelly R Nickerson is licensed to practice in Nebraska (license number 12439) and her current practice location is
828 Lake Ave, Ste F, Gothenburg, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(308) 537-2294.
NPI number for Dr Shelly R Nickerson is 1619166410 and her current mailing address is 22319 Ruff Rd, Gretna, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619166410.
Healthcare Provider's Profile
| Full Name | Dr Shelly R Nickerson |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 828 Lake Ave, Gothenburg, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619166410
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 08/15/2016
Medical Identifiers
Medical identifiers for Dr Shelly R Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619166410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 12439 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shelly R Nickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shelly R Nickerson, PHARMD
22319 Ruff Rd,
Gretna, NE 68028-7304
Ph: (402) 471-9379 | Dr Shelly R Nickerson, PHARMD
828 Lake Ave, Ste F,
Gothenburg, NE 69138-1950
Ph: (308) 537-2294 |
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