Provider Demographics
NPI:1992104855
Name:SHARMA, NIKITA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NIKITA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NIKITA
Other - Middle Name:
Other - Last Name:JINDAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11403 E NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-1403
Mailing Address - Country:US
Mailing Address - Phone:214-341-2921
Mailing Address - Fax:
Practice Address - Street 1:504 N HERMITAGE AVE UNIT 2S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-6008
Practice Address - Country:US
Practice Address - Phone:847-409-9489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-16
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist