Individual provider Active NPI

Dilip Kumar Chakrabarti, R PH

  • Pharmacist
  • Fort Lee, NJ
National Provider Identifier
1033435946
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035240 Issued in NY
Practice address
2418 2ND St Unit a
Fort Lee, NJ 07024-4004
Phone
(845) 323-6089
NPI assigned
Apr 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 035240 NY Primary

Addresses

Primary practice location

2418 2ND St Unit a
Fort Lee, NJ 07024-4004

Mailing address

2418A Second Street
Fort Lee, NJ 07024-4004
Phone (845) 323-6089

Other identifiers 1

IdentifierTypeStateIssuer
035240OtherNYNEW YORK STATE PHARMACIST'S REGISTRATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
035240NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1033435946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418A SECOND STREET",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244004",
            "telephone_number": "845-323-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 2ND ST UNIT A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244004",
            "telephone_number": "845-323-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRABARTI",
        "first_name": "DILIP",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "R PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE PHARMACIST'S REGISTRATION NUMBER",
            "identifier": "035240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.