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PRESCRIPTION PLACE OF NICEVILLE LLC
NPI 1891184859
Pharmacy - Community/Retail Pharmacy in Niceville, FL

Active since January 14, 2015CLIA 10D2213404 · Waiver
1140 JOHN SIMS PKWY E, SUITE 6, NICEVILLE, FL 32578(850) 389-8182(850) 389-8185 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2019, Nov 17, 2015 (2 updates tracked since 2015).

About Prescription Place Of Niceville Llc NPPES

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

PRESCRIPTION PLACE OF NICEVILLE LLC (NPI 1891184859) is a healthcare organization registered as a community/retail pharmacy in Niceville, Florida and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Shane G Abbott, Owner, as its authorized official.

NPPES Registry Identity

NPI1891184859
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRESCRIPTION PLACE OF NICEVILLE LLC
Location Address1140 JOHN SIMS PKWY E, SUITE 6Niceville, FL 32578-2204
Mailing Address1140 John Sims Pkwy E, Suite 6Niceville, FL 32578-2204 · (850) 892-6898 · Fax (850) 389-8182
Phone(850) 389-8182
Fax(850) 389-8185
Organization SubpartNo
Authorized OfficialShane G AbbottOwner · (850) 389-8182
Enumeration DateJanuary 14, 2015
Last NPPES UpdateFebruary 5, 20192 updates tracked since enumeration
✔ NPI 1891184859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH28801
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1140 JOHN SIMS PKWY E, Niceville, FL 32578
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Other Identifiers 2

Medicaid014786600FL
OtherPH28801FL · Florida State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2213404

Prescription Place Of Niceville, The · Niceville, FL
Active · expires Feb 11, 2027
CLIA Number10D2213404
Laboratory TypePharmacy
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorJulie Fraser
Laboratory Phone(850) 389-8182
Laboratory LocationPrescription Place Of Niceville, The1140 John Sims Parkway Suite 6, Niceville, FL 32578
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
338 services330 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
305 services305 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
17 services17 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Prescription Place Of Niceville carries, from the Medicare DMEPOS supplier directory.

Prescription Place Of Niceville

DMEPOS supplier · Niceville, FLOperated by Prescription Place Of Niceville LLC
✔

Accepts Medicare assignment

Prescription Place Of Niceville agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20485049
Medicare Participant SinceFebruary 5, 2015
Supplier Location1140 John Sims E Pkwy 6Niceville, FL 32578
Phone(850) 389-8182
Supplier Specialties
Orthotic Personnel Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

LORI CLARK CATHEY RPH
Pharmacist
1140 JOHN SIMS PKWY E
NICEVILLE, FL 32578
Okaloosa County (850) 729-2239
ANGELA PATE PHARM D
Pharmacist
1140 JOHN SIMS PKWY E
NICEVILLE, FL 32578
Okaloosa County (850) 729-2239

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 Prescription Place Of Niceville LLC's NPI number?

The NPI number for Prescription Place Of Niceville LLC is 1891184859. It was assigned to this organization in the NPPES registry on January 14, 2015.

Where is Prescription Place Of Niceville LLC located?

Prescription Place Of Niceville LLC is located at 1140 John Sims Pkwy E Suite 6, Niceville, FL 32578. The listed phone number is (850) 389-8182.

What is Prescription Place Of Niceville LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Prescription Place Of Niceville LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Prescription Place Of Niceville accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Prescription Place Of Niceville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2213404) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prescription Place Of Niceville LLC accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 28 other insurers list Prescription Place Of Niceville LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prescription Place Of Niceville LLC was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.