Provider Demographics
NPI:1629219472
Name:NEMATIAN, RAYA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAYA
Middle Name:
Last Name:NEMATIAN
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:PO BOX 961
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-8261
Mailing Address - Country:US
Mailing Address - Phone:781-218-2767
Mailing Address - Fax:781-218-2728
Practice Address - Street 1:62 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-3706
Practice Address - Country:US
Practice Address - Phone:781-218-2767
Practice Address - Fax:781-218-2728
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-07
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051928-1183500000X
CT10891183500000X
PARP442117183500000X
VA0202207913183500000X
OH03-3-26674183500000X
MAPH232359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist