Provider Demographics
NPI:1275135527
Name:PRAJAPATI, VINAYKUMAR (PHARMD)
Entity Type:Individual
Prefix:
First Name:VINAYKUMAR
Middle Name:
Last Name:PRAJAPATI
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 1:709 SANDY HILL TRL
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-4213
Mailing Address - Country:US
Mailing Address - Phone:302-222-6397
Mailing Address - Fax:
Practice Address - Street 1:36 JEROME DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-2300
Practice Address - Country:US
Practice Address - Phone:302-222-6397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA1-0004293OtherBOARD OF PHARMACY