Provider Demographics
NPI:1437584406
Name:KAPOOR, RAJIV (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RAJIV
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CHAMBERS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723
Mailing Address - Country:US
Mailing Address - Phone:732-771-2233
Mailing Address - Fax:732-772-2234
Practice Address - Street 1:250 CHAMBERS BRIDGE RD, BRICK, NJ 08723
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-0872
Practice Address - Country:US
Practice Address - Phone:732-771-2233
Practice Address - Fax:732-771-2234
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02803400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist