Healthcare Provider Details

I. General information

NPI: 1245941350
Provider Name (Legal Business Name): KAREN SUMNER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 RINGWOOD AVE
HASKELL NJ
07420-1441
US

IV. Provider business mailing address

45 HOPPER AVE
POMPTON PLAINS NJ
07444-1323
US

V. Phone/Fax

Practice location:
  • Phone: 973-835-1627
  • Fax:
Mailing address:
  • Phone: 973-610-2826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02039000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: