Nicholas L Smith Pharmacy Llc
Community/Retail Pharmacy
1800 Freedom Rd Ste D, Little Chute
Wisconsin, 54140-3200
920-788-8888 920-788-8883
Nicholas L Smith Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
Nicholas L Smith Pharmacy Llc is a Community/Retail Pharmacy in Little Chute, Wisconsin. It is located at 1800 Freedom Rd Ste D, Little Chute and it's customer support contact number is 920-788-8888. The authorized person of Nicholas L Smith Pharmacy Llc is Nicholas Lee Smith, PHARMD who is Owner / Pharmacist of the pharmacy and his contact number is 920-788-8888. Active license number of Nicholas L Smith Pharmacy Llc is 9226-42 for Community/Retail Pharmacy in Wisconsin. Nicholas L Smith Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Nicholas L Smith Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Nicholas L Smith Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Nicholas L Smith Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1800 Freedom Rd Ste D, Little Chute, Wisconsin, 54140-3200 |
| Phone: | 920-788-8888 |
| Fax: | 920-788-8883 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Nicholas Lee Smith |
| Credentials: | PHARMD |
| Position: | Owner / Pharmacist |
| Contact Number: | 920-788-8888 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1851724637 |
| NPI Enumeration Date: | 15 Aug, 2013 |
| NPI Last Update On: | 25 Jan, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas L Smith Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 9226-42 | Wisconsin | Primary | |
| Compounding Pharmacy | 9226-42 | Wisconsin | Secondary | |
| Long Term Care Pharmacy | 9226-42 | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5133905 | Other | | Ncpdp |
| 1851724637 | Medicaid | Wisconsin | |
| 9226-42 | Other | Wisconsin | Wisconsin State License |
Medicare Enrollment:
Nicholas L Smith Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5799910311 | O20131106000960 | Nicholas L Smith Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5799910311 | O20161221000816 | Nicholas L Smith Pharmacy Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1800 Freedom Rd Ste D, Little Chute, Wisconsin |
| Zip: | 54140-3200 |
| Phone Number: | 920-788-8888 |
| Fax Number: | 920-788-8883 |
Patients can reach Nicholas L Smith Pharmacy Llc at
1800 Freedom Rd Ste D, Little Chute, Wisconsin or can
call on customer care at 920-788-8888.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.