Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krishna Surapaneni

Individual provider Pharmacist · NPI 1629504881

Krishna Surapaneni is a Pharmacist in Maplewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

747 Irvington Ave
Maplewood, NJ 07040
Phone: (973) 762-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28RI03202500 (NJ)

Record details

NPI number1629504881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2017
Last updated in NPPESMay 10, 2017
Mailing address747 Irvington Avenue, Maplewood, NJ 07040

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