Provider Demographics
NPI:1023738697
Name:SCHIEFELBEIN, NICHOLAS KARL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:KARL
Last Name:SCHIEFELBEIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 INTEGRITY WAY UNIT 111
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-3863
Mailing Address - Country:US
Mailing Address - Phone:419-908-8870
Mailing Address - Fax:
Practice Address - Street 1:6109 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3001
Practice Address - Country:US
Practice Address - Phone:502-239-3226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist