Healthcare Provider Details

I. General information

NPI: 1659666832
Provider Name (Legal Business Name): NIKI L YEE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 COCHRANE RD
MORGAN HILL CA
95037-9305
US

IV. Provider business mailing address

2999 HEIDI DR
SAN JOSE CA
95132-2720
US

V. Phone/Fax

Practice location:
  • Phone: 408-310-4051
  • Fax: 408-310-4051
Mailing address:
  • Phone: 408-888-9405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number57460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: