Provider Demographics
NPI:1831435486
Name:NAIK, PARAS JITENDRIYA (PHARMD)
Entity type:Individual
Prefix:
First Name:PARAS
Middle Name:JITENDRIYA
Last Name:NAIK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6732
Mailing Address - Country:US
Mailing Address - Phone:252-864-7166
Mailing Address - Fax:
Practice Address - Street 1:7900 OLD WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3319
Practice Address - Country:US
Practice Address - Phone:919-790-9689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist