Healthcare Provider Details

I. General information

NPI: 1285314658
Provider Name (Legal Business Name): NIKA KAABI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 HOWE ST
OAKLAND CA
94611-5312
US

IV. Provider business mailing address

5930 POST OAK CIR
SAN JOSE CA
95120-1729
US

V. Phone/Fax

Practice location:
  • Phone: 510-752-1190
  • Fax:
Mailing address:
  • Phone: 408-332-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number86445
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: