Healthcare Provider Details

I. General information

NPI: 1831005669
Provider Name (Legal Business Name): MINAH NAYERI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

893 S DELAWARE ST
INDIANAPOLIS IN
46225-1782
US

IV. Provider business mailing address

421 N PENNSYLVANIA ST APT 611
INDIANAPOLIS IN
46204-2391
US

V. Phone/Fax

Practice location:
  • Phone: 463-327-1984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26032228A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: