Active NPIIndividual providerSole proprietor

Mrs. Maithili Manchukonda, PHARMACIST

Pharmacist in Camden, New Jersey

NPI Number1023752516
Practice location
949 N 25TH St, Camden, NJ 08105-3823
Fax
856-963-2000
Last updated
April 21, 2022

Maithili Manchukonda is a Pharmacist based in Camden, NJ. Maithili Manchukonda practices in Camden, NJ and has the professional credentials of PHARMACIST. The NPI Number for Maithili Manchukonda is 1023752516 and holds a License No. 28RI03182400 (NJ). The current practice location address for Maithili Manchukonda is 949 N 25TH St, Camden, NJ 08105-3823 and can be reached out via phone at 856-963-3000 and via fax at 856-963-2000.

Provider Profile Details

NPI Number
1023752516
Provider Name
Maithili Manchukonda
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Female
Address
949 N 25TH St, Camden, NJ 08105-3823
Phone Number
856-963-3000
Fax Number
856-963-2000
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
April 21, 2022
Last Update Date
April 21, 2022
Certification Date
February 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
949 N 25TH St
Camden, NJ 08105-3823
City
Camden
Zip
08105-3823
Phone Number
856-963-3000
Fax Number
856-963-2000
Camden, NJ 08105Get directions →

Provider Business Mailing Address Details

Address
15 Windsor RD
Belle Mead, NJ 08502-5848
City
Belle Mead
State
NJ
Zip
08502-5848
Phone Number
732-447-8142

License Information

License Number
28RI03182400
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Maithili Manchukonda, PHARMACIST?

The NPI number of Mrs. Maithili Manchukonda, PHARMACIST is 1023752516. It was assigned on April 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maithili Manchukonda, PHARMACIST?

Mrs. Maithili Manchukonda, PHARMACIST is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03182400.

Where does Mrs. Maithili Manchukonda, PHARMACIST practice?

The practice location is 949 N 25TH St, Camden, NJ 08105-3823. The office can be reached at 856-963-3000 (phone) or 856-963-2000 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023752516 directly on the NPPES registry website.

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