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

Khadijah Nicosha Gray

Individual provider Pharmacist · NPI 1023731809

Khadijah Nicosha Gray is a Pharmacist in Jupiter, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

575 W Indiantown Rd
Jupiter, FL 33458-3540
Phone: (561) 746-8212
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS62109 (FL)

Record details

NPI number1023731809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address5653 Se Mercedes Ave, Stuart, FL 34997-8476

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