Kenneth James Debaun, RPH
Individual provider Active NPI Pharmacist · West Milford, NJ
NPI 1619295656 · NPPES record last updated May 14, 2010
Key facts
- NPI
- 1619295656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI01689900 (NJ)
- Practice address
- 3 Marshall Hill Rd
West Milford, NJ 07480-2144 - Phone
- (973) 728-8000
- Fax
- (973) 728-8326
- NPI assigned
- May 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01689900 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01689900 | NJ | Yes |
Addresses
Primary practice location
3 Marshall Hill Rd
West Milford, NJ 07480-2144
Mailing address
3 Marshall Hill Rd
West Milford, NJ 07480-2144
Phone (973) 728-8000
Other providers in West Milford, NJ
- Complete Care at Milford Manor LLC
- Olivia A Connell
- Lauren Culkin
- Kelly Ann Dauenheimer
- Katelyn Daymon
- Cathy Della Pesca
- Luis Francisco Delorbe
- Department of Special Education of the Roman Catholic Diocese of Pater
- Dawn Di Lascio
- Di Maio & Torp LLC
All providers in West Milford, NJ · Pharmacist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2010. 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.