Provider Demographics
NPI:1821743733
Name:CHANDRANI, YOGESH H (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:YOGESH
Middle Name:H
Last Name:CHANDRANI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2699
Mailing Address - Country:US
Mailing Address - Phone:732-671-0350
Mailing Address - Fax:732-671-3725
Practice Address - Street 1:1149 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2699
Practice Address - Country:US
Practice Address - Phone:732-671-0350
Practice Address - Fax:732-671-3725
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03280200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0669156Medicaid
NJ28RI03280200OtherNEW JERSEY BOARD OF PHARMACY