Healthcare Provider Details

I. General information

NPI: 1760390702
Provider Name (Legal Business Name): LEAH BJORNSTAD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 2ND ST STE 116
HACKENSACK NJ
07601-2191
US

IV. Provider business mailing address

92 2ND ST STE 116
HACKENSACK NJ
07601-2191
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-5820
  • Fax:
Mailing address:
  • Phone: 551-996-5754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number28RI03018400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: