Provider Demographics
NPI:1215013230
Name:CHOWDRY, AMAR (RPH)
Entity Type:Individual
Prefix:
First Name:AMAR
Middle Name:
Last Name:CHOWDRY
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 1:2440 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6226
Mailing Address - Country:US
Mailing Address - Phone:973-839-3400
Mailing Address - Fax:
Practice Address - Street 1:2440 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6226
Practice Address - Country:US
Practice Address - Phone:973-839-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042736183500000X
NJ28R102239000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02412926Medicaid
NY02412926Medicaid