Provider Demographics
NPI:1578032025
Name:ZAKI, AMIR N (RPH)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:N
Last Name:ZAKI
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 1:52 WINDING WOOD DR APT 4B
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2013
Mailing Address - Country:US
Mailing Address - Phone:347-972-2853
Mailing Address - Fax:
Practice Address - Street 1:72 MAIN ST APT A
Practice Address - Street 2:
Practice Address - City:SOUTH RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08882-1369
Practice Address - Country:US
Practice Address - Phone:732-387-8896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03925300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist