Active NPIIndividual providerSole proprietor

Divyesh Modi

Pharmacist in Bloomfield, New Jersey

NPI Number1588078133
Practice location
77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985
Fax
—
Last updated
January 25, 2023

Divyesh Modi is a Pharmacist based in Bloomfield, NJ. Divyesh Modi practices in Bloomfield, NJ. The NPI Number for Divyesh Modi is 1588078133 and holds a License No. 28ri03203100 (NJ). The current practice location address for Divyesh Modi is 77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985 and can be reached out via phone at 973-259-9290.

Provider Profile Details

NPI Number
1588078133
Provider Name
Divyesh Modi
Provider Entity Type
Individual
Gender
Male
Address
77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985
Phone Number
973-259-9290
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2014
Last Update Date
January 25, 2023
Certification Date
January 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
77-105 Bloomfield Ave
Bloomfield, NJ 07003-5985
Zip
07003-5985
Phone Number
973-259-9290
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
77-105 Bloomfield Ave
Bloomfield, NJ 07003-5985
City
Bloomfield
State
NJ
Zip
07003-5985
Phone Number
973-356-8126

License Information

License Number
28ri03203100
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 Divyesh Modi?

The NPI number of Divyesh Modi is 1588078133. It was assigned on June 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Divyesh Modi?

Divyesh Modi is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri03203100.

Where does Divyesh Modi practice?

The practice location is 77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985. The office can be reached at 973-259-9290 (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 1588078133 directly on the NPPES registry website.

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