Vedant Mukund Prajapati, PHARM. D
Individual provider Active NPI Pharmacist · Haskell, NJ
NPI 1114522786 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1114522786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03876300 (NJ)
- Practice address
- 1104 Ringwood Ave
Haskell, NJ 07420-1515 - Phone
- (973) 831-3111
- Fax
- (973) 831-3116
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03876300 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03876300 | NJ | Yes |
Addresses
Primary practice location
1104 Ringwood Ave
Haskell, NJ 07420-1515
Mailing address
1104 Ringwood Ave
Haskell, NJ 07420-1515
Phone (973) 831-3111
Other providers in Haskell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.