Niki 2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07704 Issued in MD

Legal business name

NIKI 2 LLC

Practice address

3037 Marshall Hall Rd
Bryans Road, MD 20616-3240

Phone

(240) 903-3949

Fax

(240) 903-3914

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Kapil Harkhani

Title

Pharmacy Manager

Phone

(240) 903-3949

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• MED-SURG PHARMACY Other name

Locations

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1669989133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 MARSHALL HALL RD",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206163240",
            "telephone_number": "240-903-3949",
            "fax_number": "240-903-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 MARSHALL HALL RD",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206163240",
            "telephone_number": "240-903-3949",
            "fax_number": "240-903-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKI 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "HARKHANI",
        "authorized_official_first_name": "KAPIL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "240-903-3949"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P07704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663229700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-SURG PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lillys Place Consultant Firm LLC
• Briody Anne Martin, PHARMD
• Maryland CVS Pharmacy, L.L.C.
• Solomon A Melson, LCSW
• Chakayla Middleton
• Susan Jane Nisson Hicks, CRNP
• Canisia Defang Njinkeng
• Chiamaka Nwokeji, PHARMD
• Lori Michelle Paylor, PHARM D
• Prince George'S County Health

• Community/Retail Pharmacy in Bryans Road, MD
• Providers in Bryans Road, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.