Provider Demographics
NPI:1114496874
Name:MEAKIM, KURT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:
Last Name:MEAKIM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 CENTER GROVE RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1325
Mailing Address - Country:US
Mailing Address - Phone:973-442-4668
Mailing Address - Fax:973-442-5537
Practice Address - Street 1:148 CENTER GROVE RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1325
Practice Address - Country:US
Practice Address - Phone:973-442-4668
Practice Address - Fax:973-442-5537
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-24
Last Update Date:2018-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03713100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist