MEDICARE: VALENTINA PAMPULEVSKI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI03807100	NJ

General Provider Information

NPI Number	:	1770415275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALENTINA PAMPULEVSKI PHARMD

Provider Business Mailing Address
First Line	:	90 CRESCENT AVE
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-2706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	678 WYCKOFF AVE
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-1430
Country	:	US
Telephone Number	:	201-600-5935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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