Nada Vicijan

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52073 Issued in CA

Legal business name

NADA VICIJAN

Practice address

314 I St
Modesto, CA 95351-2826

Phone

(209) 529-0325

Fax

(209) 529-0333

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Nada Vicijan

Title

Pharmacist

Phone

(209) 529-0325

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• west modesto pharmacy Other name

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1649285255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 I ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953512826",
            "telephone_number": "209-529-0325",
            "fax_number": "209-529-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 I ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953512826",
            "telephone_number": "209-529-0325",
            "fax_number": "209-529-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADA VICIJAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "VICIJAN",
        "authorized_official_first_name": "NADA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "209-529-0325"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649285255",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "west modesto pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mystical Risings LLC
• Mystical Risings LLC
• Rohaana Naaz
• Nympha Nabayan
• Julie Nabors, RN
• Jennifer Nadig
• Sumiko Nagai
• Sharnpreet Kaur Nagra
• Kyla Nagrampa
• Harminder Singh Nahal, PHARM.D.

• Community/Retail Pharmacy in Modesto, CA
• Providers in Modesto, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.