Niki LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

P06652 Issued in MD

Legal business name

NIKI LLC

Practice address

30 High St
Waldorf, MD 20602-1846

Phone

(201) 744-0481

Fax

(240) 448-3302

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Kirtan Patel

Title

President

Phone

(240) 448-3301

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HIGH ST DISCOUNT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1609308543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HIGH ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021846",
            "telephone_number": "240-448-3301",
            "fax_number": "240-448-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HIGH ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021846",
            "telephone_number": "201-744-0481",
            "fax_number": "240-448-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KIRTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-448-3301"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P06652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541065700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH ST DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaquita Nibblins
• Karen Nicholson
• Nicola Clarke Wallen LLC
• Nicole R. Moffett OD PA
• Niki LLC
• Nikisaaga LLC
• Minif Njock Ayuk
• Cordilia N Njoku, FNP
• Cronicle Chia Ghia Nkwain
• Emmanuel Gideon Nnabuko

• Long Term Care Pharmacy in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.