Provider Demographics
NPI:1396531141
Name:KANG, JAIJUJJIT SINGH (PHARMACIST)
Entity type:Individual
Prefix:
First Name:JAIJUJJIT
Middle Name:SINGH
Last Name:KANG
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 1:3024 80TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1502
Mailing Address - Country:US
Mailing Address - Phone:347-873-4820
Mailing Address - Fax:
Practice Address - Street 1:201 ELM ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-8901
Practice Address - Country:US
Practice Address - Phone:914-963-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist