=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902611726
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGHA RANA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2025
-----------------------------------------------------
Last Update Date | 02/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 508 MAIN ST
-----------------------------------------------------
City | EAST ORANGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07018-2207
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-672-6317
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23 VAN KRUINIGEN CT APT 222
-----------------------------------------------------
City | WALLINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07057-1783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 862-220-1228
-----------------------------------------------------
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 | 28RI04419400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------