Individual provider Active NPI

Nika Amalia Hakim, PHARMD

  • Pharmacist
  • Brookhaven, GA
National Provider Identifier
1609410737
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65844 Issued in TX
Practice address
3925 Peachtree Rd NE
Brookhaven, GA 30319-5256
Phone
(470) 639-4239
NPI assigned
Oct 31, 2019
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65844 TX Primary

Addresses

Primary practice location

3925 Peachtree Rd NE
Brookhaven, GA 30319-5256

Mailing address

3925 Peachtree Rd NE
Brookhaven, GA 30319-5256
Phone (281) 797-2161

Other practice location 1

2675 N Kelly Ave
Edmond, OK 73003-3337
Phone (405) 844-0280

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

LicenseStateTypeSpecialty
65844TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 6, 2022 Accepting new patients
Walgreen Co PastSince Nov 1, 2019 Accepting new patients

Locations

2675 N Kelly Ave
Edmond, OK 73003
Phone (405) 728-8396

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1609410737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195256",
            "telephone_number": "281-797-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195256",
            "telephone_number": "470-639-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 N Kelly Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730033337",
            "country_code": "US",
            "telephone_number": "405-844-0280",
            "fax_number": "405-844-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "NIKA",
        "middle_name": "AMALIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.