Nicholls Pharmacy LLC
NPI 1184748808 · Community/Retail Pharmacy · Nicholls, GA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholls Pharmacy LLC is a Community/Retail Pharmacy organization in Nicholls, GA (NPI 1184748808).
Provider details
- NPI number
- 1184748808
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jan Scott, Owner,pres,pic,ao(912) 345-1021
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Nicholls Pharmacy LLC
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2015-09-17
Frequently asked questions
- What is Nicholls Pharmacy LLC's NPI number?
- Nicholls Pharmacy LLC's National Provider Identifier (NPI) is 1184748808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicholls Pharmacy LLC?
- Nicholls Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Nicholls Pharmacy LLC located?
- Nicholls Pharmacy LLC's practice location on file with NPPES is 1003 Van Streat Hwy, Nicholls, GA 31554-5031.
- What is Nicholls Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Nicholls Pharmacy LLC is (912) 345-1021.
- Does Nicholls Pharmacy LLC accept Medicare?
- Nicholls Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nicholls Pharmacy LLC?
- The authorized official listed on Nicholls Pharmacy LLC's NPPES record is Jan Scott, Owner,pres,pic,ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicholls Pharmacy LLC's NPI active?
- Yes — Nicholls Pharmacy LLC's NPI (1184748808) is active in the NPPES registry as of the last update on 2015-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.