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NICOLE YEGANEH MAHAM
NPI 1033990452
Pharmacist in Broadlands, VA

Active since October 11, 2023
21412 CHICKACOAN TRAIL DR, BROADLANDS, VA 20148(703) 835-7220 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Nicole Yeganeh Maham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE YEGANEH MAHAM (NPI 1033990452) is an individual pharmacist in Broadlands, Virginia, licensed in Virginia (0202221636) and active in the NPI registry since October 2023. She maintains a secondary practice location in Sterling.

NPPES Registry Identity

NPI1033990452
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameNICOLE YEGANEH MAHAM
Location Address21412 CHICKACOAN TRAIL DRBroadlands, VA 20148-4037
Mailing Address21412 Chickacoan Trail DrBroadlands, VA 20148-4037 · (703) 835-7220
Phone(703) 835-7220
Sole ProprietorYes
Enumeration DateOctober 11, 2023
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1033990452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in VA · 0202221636
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Also ListedPharmacyTaxonomy 333600000X · License 0202221636 (VA)
21412 CHICKACOAN TRAIL DR, Broadlands, VA 20148
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Secondary Practice Location 1

Location 121000 Southbank StSterling, VA 20165-7242 · Phone (703) 430-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Maham's NPI number?

The NPI number for Nicole Maham is 1033990452. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Nicole Maham located?

Nicole Maham practices at 21412 Chickacoan Trail Dr, Broadlands, VA 20148. The listed phone number is (703) 835-7220.

What is Nicole Maham's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Nicole Maham was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.