Bhakti Rasa Mahajan

Individual provider Active NPI Pharmacist · Cedar Knolls, NJ

NPI 1972936243 · NPPES record last updated Aug 9, 2013

Key facts

NPI
1972936243
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI03455900 (NJ)
Practice address
235 Ridgedale Ave
Cedar Knolls, NJ 07927-2105
Phone
(973) 539-5532
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28RI03455900NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03455900 NJ Yes

Addresses

Primary practice location

235 Ridgedale Ave
Cedar Knolls, NJ 07927-2105

Mailing address

235 Ridgedale Ave
Cedar Knolls, NJ 07927-2105
Phone (973) 539-5532

Other providers in Cedar Knolls, NJ

All providers in Cedar Knolls, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.