Individual provider Active NPI

Parvin Abdul Bora, RPH

  • Pharmacist
  • North Brunswick, NJ
National Provider Identifier
1700191392
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02922100 Issued in NJ
Practice address
841 Georges Rd
North Brunswick, NJ 08902-3359
Phone
(732) 545-9487
Fax
(732) 545-2326
NPI assigned
Aug 8, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02922100 NJ Primary

Addresses

Primary practice location

841 Georges Rd
North Brunswick, NJ 08902-3359

Mailing address

4 Russett Rd
Kendall Park, NJ 08824-1419
Phone (732) 940-8536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02922100NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1700191392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RUSSETT RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241419",
            "telephone_number": "732-940-8536",
            "fax_number": "732-545-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 GEORGES RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023359",
            "telephone_number": "732-545-9487",
            "fax_number": "732-545-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORA",
        "first_name": "PARVIN",
        "middle_name": "ABDUL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02922100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.