Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NICOLE RODIN
Active
Individual
NICOLE RODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60782161
WA
183500000X
Pharmacist
RP00008765
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P7978
IDAHO BOARD OF PHARMACY
ID
01
—
PH60782161
WASHINGTON DEPARTMENT OF HEALTH
WA
01
—
RP00008765
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
11/06/2017
Last updated
03/31/2021
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