Provider Demographics
NPI:1548862741
Name:NAIK, VINAY R (RPH)
Entity type:Individual
Prefix:
First Name:VINAY
Middle Name:R
Last Name:NAIK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 LOMBARDY DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3308
Mailing Address - Country:US
Mailing Address - Phone:713-416-2588
Mailing Address - Fax:281-558-5284
Practice Address - Street 1:2700 S KIRKWOOD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6696
Practice Address - Country:US
Practice Address - Phone:281-558-5703
Practice Address - Fax:281-558-5284
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX461724Medicaid