Provider Demographics
NPI:1184212763
Name:PATEL, JAYASHREE SANJIV (RPH)
Entity Type:Individual
Prefix:DR
First Name:JAYASHREE
Middle Name:SANJIV
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2709
Mailing Address - Country:US
Mailing Address - Phone:609-586-6384
Mailing Address - Fax:609-586-8590
Practice Address - Street 1:1099 ROUTE 33
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-2709
Practice Address - Country:US
Practice Address - Phone:609-586-6384
Practice Address - Fax:609-586-8590
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03127000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist