Provider Demographics
NPI:1851846745
Name:GUPTA, ASHWANI KUMAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHWANI
Middle Name:KUMAR
Last Name:GUPTA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 APPLEDOWN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4097
Mailing Address - Country:US
Mailing Address - Phone:856-470-0239
Mailing Address - Fax:
Practice Address - Street 1:2901 WAKEFIELD PINES DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-9826
Practice Address - Country:US
Practice Address - Phone:919-569-6741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist