Foram Mehta, RPH
Individual provider Active NPI Pharmacist · Keyport, NJ
NPI 1669777967 · NPPES record last updated Jan 18, 2011
Key facts
- NPI
- 1669777967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02989500 (NJ)
- Practice address
- 270 Greenwood Dr
Keyport, NJ 07735-6129 - Phone
- (732) 242-9729
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 28RI02989500 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02989500 | NJ | Yes |
Addresses
Primary practice location
270 Greenwood Dr
Keyport, NJ 07735-6129
Mailing address
270 Greenwood Dr
Keyport, NJ 07735-6129
Phone (732) 242-9729
Other providers in Keyport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2011. 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.