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NICOLE BLACK
NPI 1679161152
Pharmacist in Meridian, ID

Active since January 09, 2021
3263 N EAGLE RD, MERIDIAN, ID 83646(208) 319-0612 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Black NPPES

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

NICOLE BLACK (NPI 1679161152) is an individual pharmacist in Meridian, Idaho, licensed in Idaho (P9165) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1679161152
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameNICOLE BLACK
Location Address3263 N EAGLE RDMeridian, ID 83646-5702
Mailing Address3800 W Perugia St Apt H204Meridian, ID 83642-4981 · (909) 654-8310
Phone(208) 319-0612
Sole ProprietorNo
Enumeration DateJanuary 9, 2021
NPPES CertifiedJanuary 9, 2021
✔ NPI 1679161152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P9165
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3263 N EAGLE RD, Meridian, ID 83646
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Other Providers at the Same Location NPPES 4

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

WALGREEN CO
Pharmacy
3263 N EAGLE RD
MERIDIAN, ID 83646
Ada County (208) 319-0612
CARRIE ANN KELLER PHARMD
Pharmacist
3263 N EAGLE RD
MERIDIAN, ID 83646
Ada County (208) 319-0612
MS. LYNN D LONGWORTH RPH
Pharmacist
3263 N EAGLE RD
MERIDIAN, ID 83646
Ada County (208) 319-0612
HEATHER TIERNAN PHARMD
Pharmacist
3263 N EAGLE RD
MERIDIAN, ID 83646
Ada County (208) 319-0612

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 Black's NPI number?

The NPI number for Nicole Black is 1679161152. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Where is Nicole Black located?

Nicole Black practices at 3263 N Eagle Rd, Meridian, ID 83646. The listed phone number is (208) 319-0612.

What is Nicole Black's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Nicole Black was last updated on January 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.