Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366326852 Individual Practitioner Female Practitioner

Dr. Alexis Rose Nicoson , PharmD

Pharmacist • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Dr. Alexis Nicoson, PharmD is a registered healthcare professional specializing in Pharmacist in Mentor, OH. Practice services are available at 7301 LAKE SHORE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7301 Lake Shore Blvd

Mentor, OH 440603029

Telephone 4406026071
Associated Practice Facility / Clinic
🏢 Ohio Cvs Stores Llc Facility NPI 1275631822

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
80 Specialists

Practicing in Mentor, OH (11028 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: 2025-08-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OH 03445807

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

3 Associated Practitioners
NPI 1316759772
James Calo

Pharmacist

NPI 1457947418
NPI 1518562404

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2025

Registered at 7301 LAKE SHORE BLVD, MENTOR, OH 440603029 (Tel: 4406026071)

📍
Updated Business Mailing Address August 05, 2025

Registered at 804 MEADOWOOD BLVD, MADISON, OH 440572914 (Tel: 4403219956)

👤
Provider Name / Credentials Updated August 05, 2025

Recorded as ALEXIS NICOSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Pharmacist (License #03445807 in OH)

🟢
Initial NPI Registration & Enumeration August 05, 2025

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: 1366326852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2025
Last Update: August 05, 2025
Sole Proprietor: No

Mailing Address

804 Meadowood Blvd

Madison, OH 440572914

Phone: 4403219956

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.