Nikisaaga LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NIKISAAGA LLC

Practice address

3973 Saint Charles Pkwy
Waldorf, MD 20602-2683

Phone

(248) 495-5705

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manishkumar J Patel

Title

Manager

Phone

(248) 495-5705

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dipen Patel, R PH

  • Pharmacist
  • Waldorf, MD
  • NPI 1538747423
  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1457924128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 DERRICO PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206952839",
            "telephone_number": "201-744-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 SAINT CHARLES PKWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022683",
            "telephone_number": "248-495-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKISAAGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISHKUMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-495-5705"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://health1.maryland.gov/pdmp/Pages/Home.aspx",
            "affiliation": "N",
            "endpointDescription": "pdmp data",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3973 Saint Charles Pkwy",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206022683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacy in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.