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

Johnny E Nicely

Individual provider Pharmacist · NPI 1659444578

Johnny E Nicely is a Pharmacist in Live Oak, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

10820 Marvin E Jones Blvd
Live Oak, FL 32060
Phone: (386) 658-5860
Fax: (386) 658-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS16420 (FL)

Record details

NPI number1659444578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007

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