Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholls Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1184748808

Nicholls Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Nicholls, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1003 Van Streat Hwy
Nicholls, GA 31554-5031
Phone: (912) 345-1021
Fax: (912) 345-1023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009134 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1184748808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Scott — Owner,Pres,Pic,Ao · (912) 345-1021
Other names Nicholls Pharmacy Llc
NPI enumeratedMarch 19, 2007
Last updated in NPPESSeptember 17, 2015
Mailing addressPo Box 247, Nicholls, GA 31554-0247