Mina Khalil, PHARMD
Individual provider Active NPI Pharmacist · Closter, NJ
NPI 1629844352 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1629844352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI04252700 (NJ)
- Practice address
- 29 Ver Valen St
Closter, NJ 07624-2699 - Phone
- (201) 367-1405
- NPI assigned
- Dec 4, 2023
- 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 |
|---|---|---|---|
| 28RI04252700 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04252700 | NJ | Yes |
Addresses
Primary practice location
29 Ver Valen St
Closter, NJ 07624-2699
Mailing address
67 Kennedy Blvd Apt 4
Bayonne, NJ 07002-5235
Phone (717) 758-0513
Other providers in Closter, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. 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.