=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821323171
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DIMPLE SHAH STEEBER PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2009
-----------------------------------------------------
Last Update Date | 01/25/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 MADISON AVE PHARMACY DEPT - JEFFERSON LEVEL C
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-6136
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-5463
-----------------------------------------------------
Fax | 973-290-7029
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 527 LONG HILL RD
-----------------------------------------------------
City | GILLETTE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07933-1350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 551-358-7215
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 28RI02921200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------