Provider Demographics
NPI:1528781242
Name:MURPHY, KATHLEEN A (RPH)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:A
Last Name:MURPHY
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 1:96 BERKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5413
Mailing Address - Country:US
Mailing Address - Phone:908-578-3544
Mailing Address - Fax:
Practice Address - Street 1:96 BERKSHIRE CT
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5413
Practice Address - Country:US
Practice Address - Phone:908-578-3544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
18766174H00000X
NJ28RI01996500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator