Healthcare Provider Details

I. General information

NPI: 1558435313
Provider Name (Legal Business Name): DEVESH M CHAUDHARI PHARMD, RPH, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 S CHURCH ST STE 5
MOORESTOWN NJ
08057-2773
US

IV. Provider business mailing address

285 S CHURCH ST STE 5
MOORESTOWN NJ
08057-2773
US

V. Phone/Fax

Practice location:
  • Phone: 856-780-7532
  • Fax:
Mailing address:
  • Phone: 856-780-7532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03020600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number004635
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00084900
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP446177
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK001009
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: