Provider Demographics
NPI:1801948906
Name:BHATT, VIVEK (RPH)
Entity type:Individual
Prefix:MR
First Name:VIVEK
Middle Name:
Last Name:BHATT
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 1:1249 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-1732
Mailing Address - Country:US
Mailing Address - Phone:908-561-5300
Mailing Address - Fax:908-561-5306
Practice Address - Street 1:1249 W 7TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1732
Practice Address - Country:US
Practice Address - Phone:908-561-5300
Practice Address - Fax:908-561-5306
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02840400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist