Healthcare Provider Details

I. General information

NPI: 1578473344
Provider Name (Legal Business Name): NIYATI VAKIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 WASHINGTON ST
WEYMOUTH MA
02188-2911
US

IV. Provider business mailing address

1791 CENTRAL ST UNIT 3206
STOUGHTON MA
02072-1470
US

V. Phone/Fax

Practice location:
  • Phone: 781-335-0404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH234032
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: