National Provider Identifier
Nicole Marie Knickerbocker, PHARMD
Nicole Marie Knickerbocker, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 360-1500.
Profile Overview
- NPI
- 1578114807
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- September 27, 2019
- Last Updated
- September 16, 2022
Practice Location
- 3535 Mount Read Blvd
- Rochester, NY 14616-4347
Phone: (585) 360-1500
Mailing Address
- 38 San Mateo RD
- Rochester, NY 14624-4519
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1578114807
- Entity Type
- Individual
- Last Name
- Knickerbocker
- First Name
- Nicole
- Middle Name
- Marie
- Credential
- PHARMD
- Mailing Street Address
- 38 San Mateo RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-4519
- Mailing Country
- US
- Mailing Phone
- (716) 997-9650
- Practice Street Address
- 3535 Mount Read Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-4347
- Practice Country
- US
- Practice Phone
- (585) 360-1500
- Practice Fax
- (585) 360-1506
- Enumeration Date
- September 27, 2019
- Last Updated
- September 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 065935 (NY, Nys Pharmacy License)