Healthcare Provider Details

I. General information

NPI: 1699068429
Provider Name (Legal Business Name): NIZAR SAKHIANI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5145 MURFREESBORO RD
LA VERGNE TN
37086-2713
US

IV. Provider business mailing address

5145 MURFREESBORO RD
LA VERGNE TN
37086-2713
US

V. Phone/Fax

Practice location:
  • Phone: 615-535-9002
  • Fax: 615-535-9004
Mailing address:
  • Phone: 615-535-9002
  • Fax: 615-535-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25223
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: