IndividualActive
Shelly Nickerson, PHARMD
NPI 1619166410 · Pharmacist · Gothenburg, NE
Shelly Nickerson, PHARMD is a Pharmacist provider in Gothenburg, NE (NPI 1619166410).
Provider details
- NPI number
- 1619166410
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12439 (NE)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
828 Lake Ave
Ste F
Gothenburg, NE 69138-1950
Phone: (308) 537-2294
Fax: (308) 537-2256
Street-level locationGet directions
Mailing address
22319 Ruff Rd
Gretna, NE 68028-7304
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2016-08-15
Frequently asked questions
- What is Shelly Nickerson's NPI number?
- Shelly Nickerson's National Provider Identifier (NPI) is 1619166410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelly Nickerson's specialty?
- Shelly Nickerson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Shelly Nickerson located?
- Shelly Nickerson's practice location on file with NPPES is 828 Lake Ave, Gothenburg, NE 69138-1950.
- What is Shelly Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Shelly Nickerson is (308) 537-2294.
- Is Shelly Nickerson's NPI active?
- Yes — Shelly Nickerson's NPI (1619166410) is active in the NPPES registry as of the last update on 2016-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.