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

Nicole Spore

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1316651599

Nicole Spore is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

9219 N Lindbergh Dr
Peoria, IL 61615-1425
Phone: (309) 692-0473
Show map & directions

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

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 051305252 (IL)

Record details

NPI number1316651599
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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