Active NPI
Nardine Nakhla, RPH
- Pharmacist
- Cazenovia, NY
National Provider Identifier
1689856957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20051723
- Practice address
- 95 Nelson St
Cazenovia, NY 13035-1322 - Phone
- (315) 655-4450
- Fax
- (315) 655-2152
- NPI assigned
- Nov 28, 2007
- 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 | 20051723 | NY | Primary |
Addresses
Primary practice location
95 Nelson St
Cazenovia, NY 13035-1322
Mailing address
95 Nelson St Unit 2215
Cazenovia, NY 13035-1322
Phone (315) 682-0767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01083710 | Medicaid | NY |
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 |
|---|---|---|---|
| 20051723 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1689856957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 NELSON ST UNIT 2215",
"city": "CAZENOVIA",
"state": "NY",
"postal_code": "130351322",
"telephone_number": "315-682-0767",
"fax_number": "315-655-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 NELSON ST",
"city": "CAZENOVIA",
"state": "NY",
"postal_code": "130351322",
"telephone_number": "315-655-4450",
"fax_number": "315-655-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKHLA",
"first_name": "NARDINE",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20051723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01083710",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cazenovia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.