Provider Demographics
NPI:1699375055
Name:SABERI, FARHAD NIAKI (RPH)
Entity Type:Individual
Prefix:
First Name:FARHAD
Middle Name:NIAKI
Last Name:SABERI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9354 AMBLESIDE DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-8327
Mailing Address - Country:US
Mailing Address - Phone:317-567-8413
Mailing Address - Fax:317-567-8407
Practice Address - Street 1:9354 AMBLESIDE DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-8327
Practice Address - Country:US
Practice Address - Phone:317-567-8413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26015605A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist