Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104581784 Individual Practitioner Female Practitioner

Nicole Liedke , RPH

Pharmacist • Spring Hill, FL

Professional Overview & Biography Verified Profile Summary

Nicole Liedke, RPH is a registered healthcare professional specializing in Pharmacist in Spring Hill, FL. Practice services are available at 4096 MARINER BLLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4096 Mariner Bllvd

Spring Hill, FL 34609

Telephone 3522005031
Fax 3526835318
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1770724023

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Spring Hill, FL

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

Practicing in Spring Hill, 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

CMS Verified: 2021-10-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS62319

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

6 Associated Practitioners
NPI 1144618331

Doctor of Pharmacy (Pharm.D.)

NPI 1174103659
NPI 1245512763

Doctor of Pharmacy (Pharm.D.)

Corey Dewitt

Pharmacist

NPI 1497093447
Jonatas Chaves

Pharmacist

NPI 1730792474
Haydi Kelada

Pharmacist

NPI 1841018579

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2021

Registered at 4096 MARINER BLLVD, SPRING HILL, FL 34609 (Tel: 3522005031)

📍
Updated Business Mailing Address November 08, 2021

Registered at 4096 MARINER BLVD, SPRING HILL, FL 346092465

👤
Provider Name / Credentials Updated November 08, 2021

Recorded as NICOLE LIEDKE, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2021

Pharmacist (License #PS62319 in FL)

🟢
Initial NPI Registration & Enumeration November 08, 2021

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: 1104581784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2021
Last Update: November 08, 2021
Sole Proprietor: Yes

Mailing Address

4096 Mariner Blvd

Spring Hill, FL 346092465

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.