Provider Demographics
NPI:1134443369
Name:KANANI, NARESH (RPH)
Entity type:Individual
Prefix:MR
First Name:NARESH
Middle Name:
Last Name:KANANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2827
Mailing Address - Country:US
Mailing Address - Phone:201-656-3900
Mailing Address - Fax:201-656-3517
Practice Address - Street 1:16 E PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-2008
Practice Address - Country:US
Practice Address - Phone:201-445-1100
Practice Address - Fax:201-652-2455
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02749200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist