Provider Demographics
NPI:1346498607
Name:PAREKH, VIPUL (RPH)
Entity Type:Individual
Prefix:
First Name:VIPUL
Middle Name:
Last Name:PAREKH
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 1:159 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2160
Mailing Address - Country:US
Mailing Address - Phone:718-231-4040
Mailing Address - Fax:718-231-2727
Practice Address - Street 1:159 E GUN HILL RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2160
Practice Address - Country:US
Practice Address - Phone:718-231-4040
Practice Address - Fax:718-231-2727
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 37141183500000X
NY047873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist