Nihar Niranjan Mandavia, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

55055 Issued in CA

Practice address

27881 La Paz Rd Ste E
Laguna Niguel, CA 92677-3933

Phone

(949) 643-0740

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KKN Pharmacy Corporation

  • Community/Retail Pharmacy
  • Laguna Niguel, CA
  • NPI 1104859800
  NPD Authorized official
• KKN Pharmacy Corporation

  • Long Term Care Pharmacy
  • Laguna Niguel, CA
  • NPI 1699505701
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1023205291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27881 LA PAZ RD STE E",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773933",
            "telephone_number": "949-643-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27881 LA PAZ RD STE E",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773933",
            "telephone_number": "949-643-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAVIA",
        "first_name": "NIHAR",
        "middle_name": "NIRANJAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55055",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "55055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Ma
• Alice Madrigal
• Melissa Dionne Madsen, ASW
• Nooshin Majd, DMD ,MSD
• Mahnoush Maleki
• Gary Michael Mar, DDS
• George J Maraczi, D.P.M.
• Sara Marcus
• Maria Heropoulos M D Inc
• Marissa Sturges DC PC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.