Healthcare Provider Details

I. General information

NPI: 1699686865
Provider Name (Legal Business Name): NOUR J HANINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8407 KENNDEY BLVD W
NORTH BERGEN NJ
07047-4338
US

IV. Provider business mailing address

8407 KENNDEY BLVD W
NORTH BERGEN NJ
07047-4338
US

V. Phone/Fax

Practice location:
  • Phone: 201-982-4906
  • Fax:
Mailing address:
  • Phone: 201-982-4906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04506500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: