Active NPI
Niveen Yaldo, PHARMD
- Pharmacist
- Lansing, MI
National Provider Identifier
1770151185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302413062
- Practice address
- 5117 Martin Luther King Jr Blvd
Lansing, MI 48911 - Phone
- (517) 272-5424
- NPI assigned
- Jun 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 5302413062 | MI | Primary |
Addresses
Primary practice location
5117 Martin Luther King Jr Blvd
Lansing, MI 48911
Mailing address
8202 Alexa Dr
Walled Lake, MI 48390-5815
Phone (248) 943-2733
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413062 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623456000000",
"number": "1770151185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 ALEXA DR",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483905815",
"telephone_number": "248-943-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5117 MARTIN LUTHER KING JR BLVD",
"city": "LANSING",
"state": "MI",
"postal_code": "48911",
"telephone_number": "517-272-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YALDO",
"first_name": "NIVEEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-12",
"last_updated": "2021-06-12",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.