Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Yeganeh Maham

Individual provider Pharmacist · NPI 1033990452

Nicole Yeganeh Maham is a Pharmacist in Broadlands, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

21412 Chickacoan Trail Dr
Broadlands, VA 20148-4037
Phone: (703) 835-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21000 Southbank St, Sterling, VA 20165-7242 — (703) 430-0400

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202221636 (VA)
Pharmacy Taxonomy 333600000X · Licence 0202221636 (VA)

Record details

NPI number1033990452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

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