Provider Demographics
NPI:1194908483
Name:JOSHI, VIVEK (MS RPH)
Entity type:Individual
Prefix:MR
First Name:VIVEK
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MS RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CARRIAGE TRL
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4904
Mailing Address - Country:US
Mailing Address - Phone:201-370-4280
Mailing Address - Fax:908-441-9551
Practice Address - Street 1:66 CARRIAGE TRL
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4904
Practice Address - Country:US
Practice Address - Phone:201-370-4280
Practice Address - Fax:908-441-9551
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044764183500000X
NJ28RI03134300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist