Active NPI
Nancy R Mikhaiel, PHARM.D.
- Pharmacist
- Pomona, CA
National Provider Identifier
1588442115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49019
- Practice address
- 2288 S Garey Ave
Pomona, CA 91766-5645 - Phone
- (909) 993-0240
- Fax
- (909) 993-0247
- NPI assigned
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49019 | CA | Primary |
Addresses
Primary practice location
2288 S Garey Ave
Pomona, CA 91766-5645
Mailing address
4400 Wilson St
Chino, CA 91710-3235
Phone (951) 218-4471
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49019 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1588442115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 WILSON ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917103235",
"telephone_number": "951-218-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2288 S GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917665645",
"telephone_number": "909-993-0240",
"fax_number": "909-993-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIEL",
"first_name": "NANCY",
"middle_name": "R",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "49019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.