ANTONINA NIKOLAIDIS (NPI# 1578158515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP036078L | PA | Pharmacy Service Providers |
| Street Address | 3401 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5189 |
| 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 |
| Find all providers in the same address | ||||
| 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 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| 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 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376868232 | Andreas C Nikolaidis, Md, Pa · Andreas C Nikolaidis, Md, Pa | Pediatrics | 24375 Fm 1314 Rd, Porter, TX 77365-4205 | 2010-04-05 |
| 1639573702 | Antonina Capurro · Antonina Lara | Dentist · General Practice | 1001 Shadow Ln, Ms 7411, Las Vegas, NV 89106-4124 | 2014-10-17 |
| 1417101155 | Antonina N. Galarza · Antonina N. Bustamane | Social Worker · Clinical | 5201 White Ln, Bakersfield, CA 93309-6200 | 2008-11-07 |
| 1457537474 | Rachael Antonina White · Rachael Antonina Bendele | Internal Medicine · Endocrinology, Diabetes & Metabolism | 2204 Grant Rd, Suite 103, Mountain View, CA 94040-3855 | 2008-01-22 |
| 1235479593 | Antonina Skapars Trinkuns · Antonina Lidija Skapars, M.d. | Psychiatry & Neurology · Psychiatry | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| 1558590521 | Rachel Antonina Iacobazzi Riecan · Rachel Antonina Iacobazzi | Specialist | 8514 49th St W, University Place, WA 98467-1810 | 2009-07-10 |
| 1770536187 | Frank Nikolaidis | Anesthesiology | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-05-18 |
| 1780877415 | Andreas C. Nikolaidis M.d., P.a. | Pediatrics | 24375 Fm 1314 Rd, Porter, TX 77365-4205 | 2007-08-27 |
| 1295861946 | Maria D. Nikolaidis, M.d., P.a. | Pediatrics | 24375 Fm 1314 Rd, Porter, TX 77365-4205 | 2007-02-26 |
| 1932143708 | Elefterios T Nikolaidis | Pathology · Anatomic Pathology & Clinical Pathology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-06-15 |
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| 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.