Active NPIIndividual providerSole proprietor

Dr. Jose D Pullockaran, RPH, PHD

Pharmacist in Newark, New Jersey

NPI Number1689799892
Practice location
249 University Ave, Room 104, Newark, NJ 07102-1808
Fax
—
Last updated
July 8, 2007

Jose Devassy Pullockaran is a Pharmacist based in Newark, NJ. Jose Devassy Pullockaran practices in Newark, NJ and has the professional credentials of RPH, PHD. The NPI Number for Jose Devassy Pullockaran is 1689799892 and holds a License No. 28RI02492300 (NJ). The current practice location address for Jose Devassy Pullockaran is 249 University Ave, Room 104, Newark, NJ 07102-1808 and can be reached out via phone at 973-353-5201.

Provider Profile Details

NPI Number
1689799892
Provider Name
Jose Devassy Pullockaran
Credential
RPH, PHD
Provider Entity Type
Individual
Gender
Male
Address
249 University Ave, Room 104, Newark, NJ 07102-1808
Phone Number
973-353-5201
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
249 University Ave
Room 104
Newark, NJ 07102-1808
City
Newark
Zip
07102-1808
Phone Number
973-353-5201
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
195 Shrewsbury CT
Pennington, NJ 08534-5418
City
Pennington
State
NJ
Zip
08534-5418
Phone Number
609-737-2274

License Information

License Number
28RI02492300
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 Dr. Jose D Pullockaran, RPH, PHD?

The NPI number of Dr. Jose D Pullockaran, RPH, PHD is 1689799892. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose D Pullockaran, RPH, PHD?

Dr. Jose D Pullockaran, RPH, PHD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI02492300.

Where does Dr. Jose D Pullockaran, RPH, PHD practice?

The practice location is 249 University Ave, Room 104, Newark, NJ 07102-1808. The office can be reached at 973-353-5201 (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 1689799892 directly on the NPPES registry website.

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