Nicki Fotiadis, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

61570 Issued in CA

Practice address

12835 Mountain Ave
Chino, CA 91710-4556

Phone

(909) 548-6366

NPI assigned

Feb 2, 2014

Last updated

Feb 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ralphs Grocery Company

  dba Ralphs Pharmacy

  • Community/Retail Pharmacy
  • Chino, CA
  • NPI 1427073022
  NPD (past)
• Ralphs Grocery Company

  dba Food4Less Pharmacy

  • Community/Retail Pharmacy
  • Pacoima, CA
  • NPI 1982772711
  NPD (past)

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1962825554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COVERED WAGON DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651741",
            "telephone_number": "909-610-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 MOUNTAIN AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104556",
            "telephone_number": "909-548-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTIADIS",
        "first_name": "NICKI",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "61570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Care Team Inc (Empire Foot and Ankle II)
• Drueciel Orlean Ford, D.D.S.
• Forefront Dermatology - Pacific, P.C. (SkinPhysicians & Surgeons, A Forefront Dermatology Practice)
• Lauren Ashley Foronda, OTR/L
• Arthur T Forrest, D.D.S.
• Fourth Optometric Care of California (Eyecare Specialists of Chino Valley Optometry)
• Fred Armogida
• Emily Frigaard
• Cameron Frye, AMFT
• Emily Fu, M.D.

• Pharmacist in Chino, CA
• Providers in Chino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2014; 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.