Active NPIIndividual provider

Chantaille Blake

Pharmacist in Newark, New Jersey

NPI Number1457632051
Practice location
361 Bergen St, Newark, NJ 07103-2201
Fax
—
Last updated
September 9, 2011

Chantaille Blake is a Pharmacist based in Newark, NJ. Chantaille Blake practices in Newark, NJ. The NPI Number for Chantaille Blake is 1457632051 and holds a License No. 28RI03003400 (NJ). The current practice location address for Chantaille Blake is 361 Bergen St, Newark, NJ 07103-2201 and can be reached out via phone at 973-622-3021.

Provider Profile Details

NPI Number
1457632051
Provider Name
Chantaille Blake
Provider Entity Type
Individual
Gender
Female
Address
361 Bergen St, Newark, NJ 07103-2201
Phone Number
973-622-3021
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2011
Last Update Date
September 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
361 Bergen St
Newark, NJ 07103-2201
City
Newark
Zip
07103-2201
Phone Number
973-622-3021
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
361 Bergen St
Newark, NJ 07103-2201
City
Newark
State
NJ
Zip
07103-2201

License Information

License Number
28RI03003400
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 Chantaille Blake?

The NPI number of Chantaille Blake is 1457632051. It was assigned on September 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Chantaille Blake?

Chantaille Blake is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03003400.

Where does Chantaille Blake practice?

The practice location is 361 Bergen St, Newark, NJ 07103-2201. The office can be reached at 973-622-3021 (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 1457632051 directly on the NPPES registry website.

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