NICOLE SPORE – NPI #1316651599
Pharmacist
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
NICOLE SPORE is a pharmacist located in PEORIA, IL. NPPES has assigned the NPI number 1316651599 to NICOLE SPORE on January 11, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
The NPI profile was previously updated about 3 years ago on Jan 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE SPORE below.
NPI Profile for
NICOLE SPORE
(more than 3 years ago)
PEORIA, IL 61615-1425 Phone: (309) 692-0473 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 1835P0018X - Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary) |
IL | 051305252 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.