Provider Demographics
NPI:1760887889
Name:AMIN, NIYATI B (RPH)
Entity Type:Individual
Prefix:DR
First Name:NIYATI
Middle Name:B
Last Name:AMIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S 20TH ST APT U715
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7366
Mailing Address - Country:US
Mailing Address - Phone:757-232-7469
Mailing Address - Fax:
Practice Address - Street 1:10 S 20TH ST APT U715
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7366
Practice Address - Country:US
Practice Address - Phone:757-232-7469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist