Provider Demographics
NPI:1669794046
Name:CHATTOPADHYAY, PINAKI (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:PINAKI
Middle Name:
Last Name:CHATTOPADHYAY
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 1:7 FALCON CT
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2794
Mailing Address - Country:US
Mailing Address - Phone:732-679-5966
Mailing Address - Fax:
Practice Address - Street 1:7 FALCON CT
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2794
Practice Address - Country:US
Practice Address - Phone:732-679-5966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040712183500000X
NJ28RI02542200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist