Provider Demographics
NPI:1457960924
Name:PARIKH, JIMIL (RPH)
Entity Type:Individual
Prefix:
First Name:JIMIL
Middle Name:
Last Name:PARIKH
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 1:41 BERNINI WAY
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JCT
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-3352
Mailing Address - Country:US
Mailing Address - Phone:732-685-2992
Mailing Address - Fax:
Practice Address - Street 1:41 BERNINI WAY
Practice Address - Street 2:
Practice Address - City:MONMOUTH JCT
Practice Address - State:NJ
Practice Address - Zip Code:08852-3352
Practice Address - Country:US
Practice Address - Phone:732-685-2992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03998200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist