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NICOLE SPORE
NPI 1316651599
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Peoria, IL

Active since January 11, 2023
9219 N LINDBERGH DR, PEORIA, IL 61615(309) 692-0473 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Nicole Spore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE SPORE (NPI 1316651599) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Peoria, Illinois, licensed in Illinois (051305252) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1316651599
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameNICOLE SPORE
Location Address9219 N LINDBERGH DRPeoria, IL 61615-1425
Mailing Address9219 N Lindbergh DrPeoria, IL 61615-1425
Phone(309) 692-0473
Sole ProprietorNo
Enumeration DateJanuary 11, 2023
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1316651599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in IL · 051305252
Definition
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.
9219 N LINDBERGH DR, Peoria, IL 61615
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFERY TYLER GIEBELHAUSEN PHARM.D.
Pharmacist
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 692-0473
MAHMOUD SAMI ABUSHAMA
Pharmacist
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 691-8701
ANTHONY HOLSHOUSER
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 692-0473
AARON P FLYNN PHARMD
Pharmacist
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 691-8701
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 692-0473
DR. VI HO PHARM. D.
Pharmacist
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 692-0473
EMILY CUNNINGHAM PHARMD
Pharmacist
9219 N LINDBERGH DR
PEORIA, IL 61615
Peoria County (309) 692-0473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Spore's NPI number?

The NPI number for Nicole Spore is 1316651599. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Nicole Spore located?

Nicole Spore practices at 9219 N Lindbergh Dr, Peoria, IL 61615. The listed phone number is (309) 692-0473.

What is Nicole Spore's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Nicole Spore was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.