Active NPI
Aleksandar Nikolic
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Scottsdale, AZ
National Provider Identifier
1477232452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- S027035
- Practice address
- 10200 N 92ND St Ste 140
Scottsdale, AZ 85258-4535 - Phone
- (480) 583-4000
- NPI assigned
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03443296 | OH | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S027035 | AZ | Primary |
Addresses
Primary practice location
10200 N 92ND St Ste 140
Scottsdale, AZ 85258-4535
Mailing address
5243 W Eugie Ave
Glendale, AZ 85304-1337
Phone (602) 334-9167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S027035 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 03443296 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1477232452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5243 W EUGIE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041337",
"telephone_number": "602-334-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 N 92ND ST STE 140",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584535",
"telephone_number": "480-583-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLIC",
"first_name": "ALEKSANDAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03443296",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S027035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.