Healthcare Provider Details

I. General information

NPI: 1902611726
Provider Name (Legal Business Name): MEGHA RANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 MAIN ST
EAST ORANGE NJ
07018-2207
US

IV. Provider business mailing address

23 VAN KRUINIGEN CT APT 222
WALLINGTON NJ
07057-1783
US

V. Phone/Fax

Practice location:
  • Phone: 973-672-6317
  • Fax:
Mailing address:
  • Phone: 862-220-1228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04419400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: