Jay Panchal
Individual provider Active NPI Pharmacist · Netcong, NJ
NPI 1801564414 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1801564414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03728100 (NJ)
- Practice address
- 17 Maple Avenue
Netcong, NJ 07857-1125 - Phone
- (973) 347-0068
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03728100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Netcong Pharmacy Inc | Current |
Accepting new patients |
Locations
17 Maple Ave
Netcong, NJ 07857
Phone (973) 347-0068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03728100 | NJ | Yes |
Addresses
Primary practice location
17 Maple Avenue
Netcong, NJ 07857-1125
Mailing address
17 Maple Ave
Netcong, NJ 07857-1125
Phone (973) 347-0068
Other providers in Netcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. 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.