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

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 and National Provider Directory roles.

• Ralphs Grocery Company

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

  • 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
• Drueciel Orlean Ford, D.D.S.
• Forefront Dermatology - Pacific, P.C.
• Lauren Ashley Foronda, OTR/L
• Arthur T Forrest, D.D.S.
• Fourth Optometric Care of California
• 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.