DR. NATHAN POULIOT PHARM D
NPI 1962169391
Pharmacist in St Augustine, FL

Active since November 19, 2021
4255 US 1 S, ST AUGUSTINE, FL 32086(904) 794-1104 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathan Pouliot Pharm D NPPES

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

DR. NATHAN POULIOT PHARM D (NPI 1962169391) is an individual pharmacist in St Augustine, Florida, licensed in Florida (PS63303) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1962169391
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. NATHAN POULIOTCredential: PHARM D
Location Address4255 US 1 SSt Augustine, FL 32086-7046
Mailing Address4255 Us 1 SSt Augustine, FL 32086-7046
Sole ProprietorNo
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
NPI 1962169391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in FL · PS63303 Licensed in FL · 63303
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.
4255 US 1 S, St Augustine, FL 32086

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.

Pharmacist
4255 US 1 S
SAINT AUGUSTINE, FL 32086
Pharmacist
4255 US 1 S
SAINT AUGUSTINE, FL 32086

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 Nathan Pouliot's NPI number?

The NPI number for Nathan Pouliot is 1962169391. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Nathan Pouliot located?

Nathan Pouliot practices at 4255 Us 1 S, St Augustine, FL 32086. The listed phone number is (904) 794-1104.

What is Nathan Pouliot'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 Nathan Pouliot was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.