Provider Demographics
NPI:1467764738
Name:PATEL, NAYNA V (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:NAYNA
Middle Name:V
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 MIDDLESEX ESSEX TPKE
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2031
Mailing Address - Country:US
Mailing Address - Phone:732-283-4520
Mailing Address - Fax:
Practice Address - Street 1:464A ELIZABETH AVE
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-271-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02595900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist