Healthcare Provider Details

I. General information

NPI: 1285303677
Provider Name (Legal Business Name): NICOLE SHAYLYN LINK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 N HIGHWAY 27
WHITLEY CITY KY
42653-4084
US

IV. Provider business mailing address

3499 LAKESIDE CT
SOMERSET KY
42503-9569
US

V. Phone/Fax

Practice location:
  • Phone: 606-588-2001
  • Fax:
Mailing address:
  • Phone: 208-530-0192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17218
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number025661
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: