Provider Demographics
NPI:1760072177
Name:LIPARI, JENNIFER A (RPH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:LIPARI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 NEW RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1262
Mailing Address - Country:US
Mailing Address - Phone:609-484-0026
Mailing Address - Fax:609-484-0062
Practice Address - Street 1:1337 NEW RD STE 1A
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1262
Practice Address - Country:US
Practice Address - Phone:609-484-0026
Practice Address - Fax:609-484-0062
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI2426700183500000X
NJ28RI02426700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RJ04505OtherPHARMACY IMMUNIZATION LISCENCE
NJ28RI02426700OtherPHARMACY LISCENCE