Provider Demographics
NPI:1205019759
Name:PINTO, BRIAN B (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:B
Last Name:PINTO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 SOUTH AVE W
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1418
Mailing Address - Country:US
Mailing Address - Phone:908-233-2200
Mailing Address - Fax:908-233-3975
Practice Address - Street 1:1115 SOUTH AVE W
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1418
Practice Address - Country:US
Practice Address - Phone:908-233-2200
Practice Address - Fax:908-233-3975
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02850000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02850000OtherSTATE LICENSE