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

Alisa Nichols, RPH

Individual provider Pharmacist · NPI 1336796044

Alisa Nichols, RPH is a Pharmacist in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4625 E Maryland St
Decatur, IL 62521-5092
Phone: (217) 864-9288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051037047 (IL)

Record details

NPI number1336796044
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2019

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