Provider Demographics
NPI:1245544121
Name:JAGJIWAN, HEMA N (PHARM)
Entity type:Individual
Prefix:MISS
First Name:HEMA
Middle Name:N
Last Name:JAGJIWAN
Suffix:
Gender:F
Credentials:PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JFK BLVD
Mailing Address - Street 2:#7G
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1789
Mailing Address - Country:US
Mailing Address - Phone:908-752-2888
Mailing Address - Fax:
Practice Address - Street 1:1 JFK BLVD
Practice Address - Street 2:#7G
Practice Address - City:SOMSERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:908-752-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02923800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist