Active NPI
Niloufar Niknam, RPH
- Pharmacist
- Boise, ID
National Provider Identifier
1679034656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8194
- Practice address
- 945 N Maple Grove Rd Apt 105
Boise, ID 83704-4292 - Phone
- (330) 503-8072
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | P8194 | ID | Primary |
Addresses
Primary practice location
945 N Maple Grove Rd Apt 105
Boise, ID 83704-4292
Mailing address
945 N Maple Grove Rd Apt 105
Boise, ID 83704-4292
Phone (330) 503-8072
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8194 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1679034656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 N MAPLE GROVE RD APT 105",
"city": "BOISE",
"state": "ID",
"postal_code": "837044292",
"telephone_number": "330-503-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N MAPLE GROVE RD APT 105",
"city": "BOISE",
"state": "ID",
"postal_code": "837044292",
"telephone_number": "330-503-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKNAM",
"first_name": "NILOUFAR",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "ID",
"license": "P8194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.