ANTONINA NIKOLAIDIS
Pharmacist

Address: 3401 N Broad St, Philadelphia, PA 19140-5189

ANTONINA NIKOLAIDIS (NPI# 1578158515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578158515
Entity Type Individual
Full Name DR. ANTONINA NIKOLAIDIS
Gender Female
Practice Address 3401 N Broad St
Philadelphia
PA 19140-5189
Practice Telephone 2157078280
Mailing Address 3401 N Broad St
Philadelphia
PA 19140-5189
Mailing Telephone 2157078280
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 183500000X Pharmacist RP036078L PA Pharmacy Service Providers

Office Location

Street Address 3401 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578154480 Subha Joy Internal Medicine · Hospice and Palliative Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2021-02-02
1518556596 Andres Jose Torres-Rodriguez Nurse Practitioner · Acute Care 3401 N Broad St, Philadelphia, PA 19140-5103 2021-01-13
1760087209 Roberta Hickman Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-12-02
1912502485 Malene Lee Lynch Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-12-02
1962018523 Caroline Grace Kelly Audiologist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-09-18
1457965964 Barbara Ohiaeri Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-09-02
1811505969 Matthew George Cronin Physician Assistant 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-15
1710505904 Cara Greenspan 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-14
1013535756 Srinivasa Prasad Venkata Kanuparthi Neurological Surgery 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1417575143 Sakshi Gandhi Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1245822055 Christie Diveterano Thoracic Surgery (Cardiothoracic Vascular Surgery) 3401 N. Broad Street, Philadelphia, PA 19140 2021-02-03
1225640519 Desirea Grant Registered Nurse · Home Health 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1740807718 Vilmarie Torres Homemaker 149 W Luray Street, 1st Floor, Philadelphia, PA 19140 2020-06-25
1619592169 Eric Joseph Curran Emergency Medicine Temple University Hospital, 3401 N. Broad St., Philadelphia, PA 19140 2020-06-10
1801419049 Clairissa Mulloy Surgery Temple University Hospital, 3401 N. Broad Street, Philadelphia, PA 19140 2020-05-22
1376004051 Anna Morales-Caraballo · Anna Morales-Caraballo Nurse Practitioner · Family 133 W Hunting Park Ave, Philadelphia, PA 19140 2019-03-26
1306316104 Carmen Doumit Dentist · Orthodontics and Dentofacial Orthopedics 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1891264735 Sundaly Ouch Nurse Practitioner 3509 N. Broad Street, 4th Floor, Boyer Pavilion, Philadelphia, PA 19140 2018-11-21
1780150375 Samantha Marina Felix Counselor · Mental Health 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1245723550 Alina Shevchenko Internal Medicine 3401 North Broad Street, Parkinson Pavilion, Suite 810, Philadelphia, PA 19140 2018-06-11
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033704804 Kathleen Mina Jean-Louis 3400 Spruce St, Philadelphia, PA 19104-4238 2021-03-04
1548855430 Charles Dylan Korn 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 2021-03-03
1992390892 Juna Ann Thomas 4000 Woodhaven Rd, Philadelphia, PA 19154-2810 2021-03-03
1053906966 Katherine Taing 2534 E Allegheny Ave, Philadelphia, PA 19134-5111 2021-03-02
1902491913 Osama Elwir 7601 Castor Ave, Philadelphia, PA 19152-4026 2021-03-02
1952995037 Davoud Parsian 2538 W Allegheny Ave, Philadelphia, PA 19132-1338 2021-03-01
1144814088 Bolanle Obafemi 117 S 20th St, Philadelphia, PA 19103-4606 2021-02-22
1063005890 Anh T Phung · Hoang Anh T Phung 2541 Kensington Ave, Philadelphia, PA 19125-1337 2021-02-12
1518550417 David Bruce Smith 133 W Hunting Park Ave Ste 200, Philadelphia, PA 19140-2717 2021-02-11
1780277640 Kevin Nelson Leung 841 E Hunting Park Ave, Philadelphia, PA 19124-4800 2021-02-11
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.