Healthcare Provider Details

I. General information

NPI: 1326957432
Provider Name (Legal Business Name): NIKKI JANIBEKYAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E BIDWELL ST STE B
FOLSOM CA
95630-4201
US

IV. Provider business mailing address

PO BOX 5623
GLENDALE CA
91221-5623
US

V. Phone/Fax

Practice location:
  • Phone: 916-693-6773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92922
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: