Provider Demographics
NPI:1902169725
Name:REED, RHONDA (RPH)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2478
Mailing Address - Country:US
Mailing Address - Phone:973-715-6786
Mailing Address - Fax:
Practice Address - Street 1:171 BROWERTOWN RD
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1746
Practice Address - Country:US
Practice Address - Phone:973-256-1559
Practice Address - Fax:973-256-1564
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02071900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02071900OtherSTATE LICENSE