Niralee Atulkumar Modi, MS, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

17993 Issued in NC

Practice address

5016 Old Tar Rd
Winterville, NC 28590-8436

Phone

(252) 321-0649

Fax

(252) 321-7294

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Pharmacist

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1760780159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OAKTOWNE DR",
            "address_2": "UNIT B5",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 OLD TAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908436",
            "telephone_number": "252-321-0649",
            "fax_number": "252-321-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "NIRALEE",
        "middle_name": "ATULKUMAR",
        "credential": "MS, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Park Pharmacy Greenville, Inc (Medical Park Pharmacy South)
• Raymond William Meyers
• Adam Henryk Michniak, AEMT
• Heather Mikesell
• Suparna Misra
• Kalyn Elizabeth Moeller
• Franklin Cordell Moore, MS, LPCA, NCC
• Janice Moore, MED, LCAS-P
• Kathy Ann Moore, LPN
• Chelsea Nicole Morgan, PHARMD

• Pharmacist in Winterville, NC
• Providers in Winterville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.