Active NPIIndividual provider

Kezie A Egbuchulam, RPH

Pharmacist in Boonton, New Jersey

NPI Number1063795755
Practice location
600 Myrtle Ave, Boonton, NJ 07005-1940
Fax
973-939-2368
Last updated
September 20, 2011

Kezie Adaku Egbuchulam is a Pharmacist based in Boonton, NJ. Kezie Adaku Egbuchulam practices in Boonton, NJ and has the professional credentials of RPH. The NPI Number for Kezie Adaku Egbuchulam is 1063795755 and holds a License No. 28ri02485100 (NJ). The current practice location address for Kezie Adaku Egbuchulam is 600 Myrtle Ave, Boonton, NJ 07005-1940 and can be reached out via phone at 973-939-9021 and via fax at 973-939-2368.

Provider Profile Details

NPI Number
1063795755
Provider Name
Kezie Adaku Egbuchulam
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
600 Myrtle Ave, Boonton, NJ 07005-1940
Phone Number
973-939-9021
Fax Number
973-939-2368
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2011
Last Update Date
September 20, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 Myrtle Ave
Boonton, NJ 07005-1940
Zip
07005-1940
Phone Number
973-939-9021
Fax Number
973-939-2368
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
34 Farber Hill RD
Boonton Township, NJ 07005-9223
City
Boonton Township
State
NJ
Zip
07005-9223
Phone Number
973-265-4479

License Information

License Number
28ri02485100
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 Kezie A Egbuchulam, RPH?

The NPI number of Kezie A Egbuchulam, RPH is 1063795755. It was assigned on September 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Kezie A Egbuchulam, RPH?

Kezie A Egbuchulam, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri02485100.

Where does Kezie A Egbuchulam, RPH practice?

The practice location is 600 Myrtle Ave, Boonton, NJ 07005-1940. The office can be reached at 973-939-9021 (phone) or 973-939-2368 (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 1063795755 directly on the NPPES registry website.

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