Individual provider Active NPI

Ginbar Dasha

  • Pharmacist
  • Denver, CO
National Provider Identifier
1063960185
Registry record updated Sep 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74712 Issued in CA
Practice address
1300 S Willow St Apt 9308
Denver, CO 80247-2157
Phone
(510) 759-9060
NPI assigned
Sep 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74712 CA Primary
Pharmacist 183500000X 0021216 CO

Addresses

Primary practice location

1300 S Willow St Apt 9308
Denver, CO 80247-2157

Mailing address

1300 S Willow St Apt 9308
Denver, CO 80247-2157
Phone (510) 759-9060

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
74712CAMDClinical Social Worker
0021216COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474156800000",
    "number": "1063960185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WILLOW ST APT 9308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472157",
            "telephone_number": "510-759-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WILLOW ST APT 9308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472157",
            "telephone_number": "510-759-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHA",
        "first_name": "GINBAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-18",
        "last_updated": "2016-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "74712",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0021216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; 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.