Organization Active NPI

Physician Dispensing Solutions, Inc

  • Non-Pharmacy Dispensing Site
  • Dover, DE
National Provider Identifier
1104127851
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
DEA BB6016403 Issued in DE
Legal business name
PHYSICIAN DISPENSING SOLUTIONS, INC
Practice address
240 Beiser Blvd
Suite 201F
Dover, DE 19904-8208
Phone
(302) 734-7246
Fax
(302) 678-8890
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Ganesh R Balu, MDNPI 1073594693
Title
President
Phone
(302) 734-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X DEA BB6016403 DE Primary

Addresses

Primary practice location

240 Beiser Blvd
Suite 201F
Dover, DE 19904-8208

Mailing address

240 Beiser Blvd
Suite 201F
Dover, DE 19904-8208
Phone (302) 734-7246

National Provider Directory

National Provider Directory

Locations

240 Beiser Blvd
Ste 201F
Dover, DE 19904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1104127851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BEISER BLVD",
            "address_2": "SUITE 201F",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048208",
            "telephone_number": "302-734-7246",
            "fax_number": "302-678-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BEISER BLVD",
            "address_2": "SUITE 201F",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048208",
            "telephone_number": "302-734-7246",
            "fax_number": "302-678-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN DISPENSING SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "BALU",
        "authorized_official_first_name": "GANESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-734-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "DE",
            "license": "DEA BB6016403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.