Healthcare Provider Details

I. General information

NPI: 1144135732
Provider Name (Legal Business Name): TRENT D'MITRI GRAY JR. PHARMD/MSPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

1401 STATE ST
HARRISBURG PA
17103-1340
US

V. Phone/Fax

Practice location:
  • Phone: 973-682-2100
  • Fax:
Mailing address:
  • Phone: 973-682-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number28RI04303700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: