Nidhin Mohan, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051612 Issued in NY

Practice address

876 Connetquot Ave
Islip Terrace, NY 11752-1425

Phone

(631) 581-5496

Fax

(631) 581-1268

NPI assigned

Jul 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• New Island Pharmacy Inc

  • Community/Retail Pharmacy
  • Deer Park, NY
  • NPI 1205181609
  NPD Authorized official
• New Island Pharmacy Inc.

  • Long Term Care Pharmacy
  • Deer Park, NY
  • NPI 1831072669
  NPD Authorized official
• CVS Albany LLC

  • Pharmacy
  • Islip Terrace, NY
  • NPI 1366540908
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1215190046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 CONNETQUOT AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521425",
            "telephone_number": "631-581-5496",
            "fax_number": "631-581-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 CONNETQUOT AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521425",
            "telephone_number": "631-581-5496",
            "fax_number": "631-581-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "NIDHIN",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Haven Inc
• Lisa Ann Miller
• Dominica Milton
• Maria A. Modica, RN
• Elizabeth Mohammed
• Jetaime Montes
• Jenelle Moran, LCSW
• John W Moreno, RPA-C
• Nassau - Suffolk Speech Therapy Services PC
• Kerri Lynn Nasta, LCSW

• Pharmacist in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.