Dr. Evgueni Kovaltchouk, PHARMD
Pharmacist in Bloomfield, New Jersey
1265781405- Practice location
- 1049 Broad St, Bloomfield, NJ 07003-2896
- Phone
- 973-338-7300
- Fax
- 973-338-4520
- Last updated
- August 21, 2020
Evgueni Kovaltchouk is a Pharmacist based in Bloomfield, NJ. Evgueni Kovaltchouk practices in Bloomfield, NJ and has the professional credentials of PHARMD. The NPI Number for Evgueni Kovaltchouk is 1265781405 and holds a License No. 28RI03516100 (NJ). The current practice location address for Evgueni Kovaltchouk is 1049 Broad St, Bloomfield, NJ 07003-2896 and can be reached out via phone at 973-338-7300 and via fax at 973-338-4520.
Provider Profile Details
- NPI Number
- 1265781405
- Provider Name
- Evgueni Kovaltchouk
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1049 Broad St, Bloomfield, NJ 07003-2896
- Phone Number
- 973-338-7300
- Fax Number
- 973-338-4520
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 4, 2012
- Last Update Date
- August 21, 2020
- Certification Date
- August 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1049 Broad St
Bloomfield, NJ 07003-2896 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2896
- Phone Number
- 973-338-7300
- Fax Number
- 973-338-4520
Provider Business Mailing Address Details
- Address
- 1049 Broad St
Bloomfield, NJ 07003-2896 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2896
- Phone Number
- 973-338-7300
- Fax Number
- 973-338-4520
License Information
- License Number
- 28RI03516100
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Bloomfield, NJ
View all Pharmacists in Bloomfield →Frequently Asked Questions
What is the NPI number of Dr. Evgueni Kovaltchouk, PHARMD?
The NPI number of Dr. Evgueni Kovaltchouk, PHARMD is 1265781405. It was assigned on September 4, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Evgueni Kovaltchouk, PHARMD?
Dr. Evgueni Kovaltchouk, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03516100.
Where does Dr. Evgueni Kovaltchouk, PHARMD practice?
The practice location is 1049 Broad St, Bloomfield, NJ 07003-2896. The office can be reached at 973-338-7300 (phone) or 973-338-4520 (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 1265781405 directly on the NPPES registry website.