Individual provider · Type 1 NPI

Nixa Bose

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Glen Oaks, NY

NPI number 1134093917 Active

Practice location

8147 259th St
Glen Oaks, NY 11004-1447

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XI072709 (NY)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

About NPI 1134093917

Nixa Bose's National Provider Identifier is 1134093917, issued on Oct 3, 2025. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Glen Oaks, NY. The record was last updated on Oct 24, 2025.