Provider Demographics
NPI:1659540672
Name:KONRAD, NALINI SADASHIV (BPHARM)
Entity Type:Individual
Prefix:MRS
First Name:NALINI
Middle Name:SADASHIV
Last Name:KONRAD
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:MISS
Other - First Name:NALINI
Other - Middle Name:SADASHIV
Other - Last Name:KALELKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:128 N COURTLAND ST
Mailing Address - Street 2:RITE AID PHARMACY #00170
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2104
Mailing Address - Country:US
Mailing Address - Phone:570-421-8665
Mailing Address - Fax:570-422-6591
Practice Address - Street 1:128 N COURTLAND ST
Practice Address - Street 2:RITE AID PHARMACY #00170
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2104
Practice Address - Country:US
Practice Address - Phone:570-421-8665
Practice Address - Fax:570-422-6591
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-23
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0480091183500000X
PARP448592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist