Healthcare Provider Details

I. General information

NPI: 1699605212
Provider Name (Legal Business Name): PRINCY JOHN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

29 BENNETT RD
MATAWAN NJ
07747-9682
US

V. Phone/Fax

Practice location:
  • Phone: 732-332-9632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number28RI03925800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: