Provider Demographics
NPI:1013394840
Name:SINGH, GURMUKH (PHARM D)
Entity Type:Individual
Prefix:
First Name:GURMUKH
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 A ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2479
Mailing Address - Country:US
Mailing Address - Phone:732-953-6704
Mailing Address - Fax:
Practice Address - Street 1:1440 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-1300
Practice Address - Country:US
Practice Address - Phone:848-203-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03369300183500000X
NY057412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist