National Provider Identifier
Nicolle Anne Matthews, RPH
Nicolle Anne Matthews, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Bath, NY and a listed phone number of (607) 776-6039.
Profile Overview
- NPI
- 1497009021
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 05, 2012
- Last Updated
- December 27, 2022
Practice Location
- 321 W Washington St
- Bath, NY 14810-1017
Phone: (607) 776-6039
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1497009021
- Entity Type
- Individual
- Last Name
- Matthews
- First Name
- Nicolle
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- RPH
- Provider Other Last Name
- Koester
- Provider Other First Name
- Nicolle
- Provider Other Middle Name
- Anne
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- RPH
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 321 W Washington St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1017
- Mailing Country
- US
- Mailing Phone
- (607) 776-6039
- Practice Street Address
- 321 W Washington St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1017
- Practice Country
- US
- Practice Phone
- (607) 776-6039
- Enumeration Date
- November 05, 2012
- Last Updated
- December 27, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)