Active NPIIndividual provider

Sandrine C Mbouyo, RPH

Pharmacist in Irvington, New Jersey

NPI Number1639430200
Practice location
810 Springfield Ave, Irvington, NJ 07111-3616
Fax
862-236-1349
Last updated
November 14, 2022

Sandrine Claire Mbouyo is a Pharmacist based in Irvington, NJ. Sandrine Claire Mbouyo practices in Irvington, NJ and has the professional credentials of RPH. The NPI Number for Sandrine Claire Mbouyo is 1639430200 and holds a License No. 28RI04159700 (NJ). The current practice location address for Sandrine Claire Mbouyo is 810 Springfield Ave, Irvington, NJ 07111-3616 and can be reached out via phone at 862-236-1348 and via fax at 862-236-1349.

Provider Profile Details

NPI Number
1639430200
Provider Name
Sandrine Claire Mbouyo
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
810 Springfield Ave, Irvington, NJ 07111-3616
Phone Number
862-236-1348
Fax Number
862-236-1349
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2012
Last Update Date
November 14, 2022
Certification Date
November 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
810 Springfield Ave
Irvington, NJ 07111-3616
Zip
07111-3616
Phone Number
862-236-1348
Fax Number
862-236-1349
Irvington, NJ 07111Get directions →

Provider Business Mailing Address Details

Address
810 Springfield Ave
Irvington, NJ 07111-3616
City
Irvington
State
NJ
Zip
07111-3616
Phone Number
862-236-1348
Fax Number
862-236-1349

License Information

Taxonomy (1)
Home Health Aide · 374U00000X
License Number (2)
28RI04159700
License State (2)
NJ
Taxonomy (2)
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 Sandrine C Mbouyo, RPH?

The NPI number of Sandrine C Mbouyo, RPH is 1639430200. It was assigned on May 31, 2012 and is currently active in the NPPES registry.

What is the specialty of Sandrine C Mbouyo, RPH?

Sandrine C Mbouyo, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04159700.

Where does Sandrine C Mbouyo, RPH practice?

The practice location is 810 Springfield Ave, Irvington, NJ 07111-3616. The office can be reached at 862-236-1348 (phone) or 862-236-1349 (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 1639430200 directly on the NPPES registry website.

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