Individual provider Active NPI

Jagadishkumar Navinbhai Rabadia

  • Pharmacist
  • Wilmington, DE
National Provider Identifier
1033673512
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0005142 Issued in DE
Practice address
4575 New Linden Hill Rd
Wilmington, DE 19808
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0005142 DE Primary

Addresses

Primary practice location

4575 New Linden Hill Rd
Wilmington, DE 19808

Mailing address

106 Meadowood Dr
Newark, DE 19711-7234
Phone (732) 762-8080

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

State licenses

LicenseStateTypeSpecialty
A1-0005142DEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1033673512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MEADOWOOD DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117234",
            "telephone_number": "732-762-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 NEW LINDEN HILL RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABADIA",
        "first_name": "JAGADISHKUMAR",
        "middle_name": "NAVINBHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0005142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.