IndividualActive
Therese Micolucci
NPI 1457955841 · Pharmacist · Saint Augustine, FL
Provider details
- NPI number
- 1457955841
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PS15718 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
2355 US Highway 1 South
Saint Augustine, FL 32086
Approximate (ZIP-level) locationGet directions
Mailing address
2355 US Highway 1 S
Saint Augustine, FL 32086-6072
Additional practice locations (3)
- 2355 US Highway 1 SSaint Augustine, FL 32086-6072
- 2355 US Highway 1 SSaint Augustine, FL 32086-6072
- 2355 US Highway 1 SSt Augustine, FL 32086-6072
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.