Active NPIIndividual provider

Laurie Wade, PHARMD

Pharmacist in Kenilworth, New Jersey

NPI Number1104256197
Practice location
801 Boulevard, Kenilworth, NJ 07033-1719
Fax
—
Last updated
November 12, 2013

Laurie Wade is a Pharmacist based in Kenilworth, NJ. Laurie Wade practices in Kenilworth, NJ and has the professional credentials of PHARMD. The NPI Number for Laurie Wade is 1104256197 and holds a License No. 28RI03527200 (NJ). The current practice location address for Laurie Wade is 801 Boulevard, Kenilworth, NJ 07033-1719 and can be reached out via phone at 908-241-5421.

Provider Profile Details

NPI Number
1104256197
Provider Name
Laurie Wade
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
801 Boulevard, Kenilworth, NJ 07033-1719
Phone Number
908-241-5421
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2013
Last Update Date
November 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
801 Boulevard
Kenilworth, NJ 07033-1719
Zip
07033-1719
Phone Number
908-241-5421
Kenilworth, NJ 07033Get directions →

Provider Business Mailing Address Details

Address
801 Boulevard
Kenilworth, NJ 07033-1719
City
Kenilworth
State
NJ
Zip
07033-1719

License Information

License Number (1)
28RI03527200
License State (1)
NJ
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
RP447452
License State (2)
PA
Taxonomy (2)
Pharmacist · 183500000X

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 Laurie Wade, PHARMD?

The NPI number of Laurie Wade, PHARMD is 1104256197. It was assigned on November 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Laurie Wade, PHARMD?

Laurie Wade, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03527200.

Where does Laurie Wade, PHARMD practice?

The practice location is 801 Boulevard, Kenilworth, NJ 07033-1719. The office can be reached at 908-241-5421 (phone).

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 1104256197 directly on the NPPES registry website.

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