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

Nikki Ann Polivka

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487442521

Nikki Ann Polivka is a Student in an Organized Health Care Education/Training Program in Pittston, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

42 N Main St
Pittston, PA 18640-1916
Phone: (570) 578-7951
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP459441 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487442521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address42 N Main St, Pittston, PA 18640-1916

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