Provider Demographics
NPI:1730403338
Name:ERRICK, JEFFREY KEITH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:KEITH
Last Name:ERRICK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:49 BROOKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4006
Mailing Address - Country:US
Mailing Address - Phone:973-992-2897
Mailing Address - Fax:972-993-2894
Practice Address - Street 1:855 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1024
Practice Address - Country:US
Practice Address - Phone:914-965-1878
Practice Address - Fax:914-965-4166
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27860183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist