Provider Demographics
NPI:1568897007
Name:KASHMANIAN, ALEXANDER SARKIS
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:SARKIS
Last Name:KASHMANIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 AUTUMN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-1851
Mailing Address - Country:US
Mailing Address - Phone:908-616-0257
Mailing Address - Fax:
Practice Address - Street 1:127 AUTUMN RIDGE RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-1851
Practice Address - Country:US
Practice Address - Phone:908-616-0257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00043461835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist