Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528785672 Individual Practitioner Female Practitioner

Nicole Radev

Pharmacist • Bridgeton, MO

Professional Overview & Biography Verified Profile Summary

Nicole Radev is a registered healthcare professional specializing in Pharmacist in Bridgeton, MO. Practice services are available at 12345 SAINT CHARLES ROCK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12345 Saint Charles Rock Rd

Bridgeton, MO 630442505

Telephone 3147702479
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1477568624

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bridgeton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
64 Specialists

Practicing in Bridgeton, MO (5469 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: 2022-10-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2022041309

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

10 Associated Practitioners
Matthew Kahle

Pharmacist

NPI 1013301639
NPI 1053688846

Doctor of Pharmacy (Pharm.D.)

NPI 1073896858

Bachelor of Science

Angela Johnson

Pharmacist

NPI 1164706925
NPI 1245514819

Doctor of Pharmacy (Pharm.D.)

NPI 1336927839

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2022

Registered at 12345 SAINT CHARLES ROCK RD, BRIDGETON, MO 630442505 (Tel: 3147702479)

📍
Updated Business Mailing Address October 19, 2022

Registered at 137 KINDER LN, GRANITE CITY, IL 620402826 (Tel: 6187980677)

👤
Provider Name / Credentials Updated October 19, 2022

Recorded as NICOLE RADEV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2022

Pharmacist (License #2022041309 in MO)

🟢
Initial NPI Registration & Enumeration October 19, 2022

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: 1528785672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2022
Last Update: October 19, 2022
Sole Proprietor: No

Mailing Address

137 Kinder Ln

Granite City, IL 620402826

Phone: 6187980677

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.