Provider Demographics
NPI:1528782257
Name:AMIN, PINAKIN D (PHARMACIST)
Entity type:Individual
Prefix:
First Name:PINAKIN
Middle Name:D
Last Name:AMIN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1714
Mailing Address - Country:US
Mailing Address - Phone:973-371-2771
Mailing Address - Fax:973-371-2247
Practice Address - Street 1:980 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1714
Practice Address - Country:US
Practice Address - Phone:973-371-2771
Practice Address - Fax:973-371-2247
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03883700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist