Provider Demographics
NPI:1710448410
Name:RASHIDI, FAHEEM
Entity type:Individual
Prefix:
First Name:FAHEEM
Middle Name:
Last Name:RASHIDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2734
Mailing Address - Country:US
Mailing Address - Phone:402-435-3271
Mailing Address - Fax:
Practice Address - Street 1:3300 A ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4512
Practice Address - Country:US
Practice Address - Phone:402-817-7978
Practice Address - Fax:844-826-6890
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist