Provider Demographics
NPI:1902211717
Name:KUPERINSKY, BRANDON N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:N
Last Name:KUPERINSKY
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 1:3 REGENT STREET
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-533-1055
Mailing Address - Fax:973-533-1066
Practice Address - Street 1:3 REGENT STREET
Practice Address - Street 2:SUITE 306
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-533-1055
Practice Address - Fax:973-533-1066
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03367800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist