MEDICARE: NICHOLAS SIGONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	36334	SC

General Provider Information

NPI Number	:	1598627168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS SIGONA

Provider Business Mailing Address
First Line	:	2221 BLUE BAYOU BLVD
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-8383
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 S PARK CIR STE 300
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4679
Country	:	US
Telephone Number	:	843-876-7074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ NICHOLAS SIGONA ” Practice Location

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