Healthcare Provider Details

I. General information

NPI: 1598629537
Provider Name (Legal Business Name): NISHEL THOMPSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 MEADOW ST
CHICOPEE MA
01013-1876
US

IV. Provider business mailing address

79 BRIARWOOD DR
WINDSOR CT
06095-3938
US

V. Phone/Fax

Practice location:
  • Phone: 413-592-4696
  • Fax:
Mailing address:
  • Phone: 415-592-4696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002784
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: