Provider Demographics
NPI:1447418884
Name:NIKPOUR, SIMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SIMA
Middle Name:
Last Name:NIKPOUR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 CROW CANYON PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1315
Mailing Address - Country:US
Mailing Address - Phone:925-866-0505
Mailing Address - Fax:
Practice Address - Street 1:3207 CROW CANYON PL
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1315
Practice Address - Country:US
Practice Address - Phone:925-866-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist