Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659444578 Individual Practitioner Male Practitioner

Johnny E Nicely

Pharmacist • Live Oak, FL

Professional Overview & Biography Verified Profile Summary

Johnny Nicely is a registered healthcare professional specializing in Pharmacist in Live Oak, FL. Practice services are available at 10820 MARVIN E. JONES BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10820 Marvin E. Jones Blvd.

Live Oak, FL 32060

Telephone 3866585860
Fax 3866585130
Associated Practice Facility / Clinic
🏢 Acv Community Services Llc Facility NPI 1174630693

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Live Oak, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Live Oak, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS16420

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Richard Corley , PA

Physician Assistant

NPI 1417020314

Physician Assistant

Cheryl Collins , ARNP - BC

Nurse Practitioner

NPI 1477056976

ARNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10820 MARVIN E. JONES BLVD., LIVE OAK, FL 32060 (Tel: 3866585860)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10820 MARVIN E. JONES BLVD., LIVE OAK, FL 32060 (Tel: 3866585860)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNNY NICELY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #PS16420 in FL)

🟢
Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659444578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

10820 Marvin E. Jones Blvd.

Live Oak, FL 32060

Phone: 3866585860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.