Individual provider Active NPI

Davinder Pal Singh Kahlon, PHARM D

  • Pharmacist
  • Gainesville, VA
National Provider Identifier
1134717788
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202214712 Issued in VA
Practice address
7963 Heritage Village PLZ
Gainesville, VA 20155-3077
Phone
(703) 743-5603
Fax
(703) 743-9531
NPI assigned
Jan 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202214712 VA Primary

Addresses

Primary practice location

7963 Heritage Village PLZ
Gainesville, VA 20155-3077

Mailing address

7963 Heritage Village PLZ
Gainesville, VA 20155-3077
Phone (703) 743-5603

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202214712VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmasutra PLLC CurrentSince Jul 24, 2022 Accepting new patients
Gainesville Pharmacy LLC PastSince Jan 10, 2021 Accepting new patients

Locations

7963 Heritage Village Plz
Gainesville, VA 20155
Phone (703) 743-5603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1134717788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553077",
            "telephone_number": "703-743-5603",
            "fax_number": "703-743-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553077",
            "telephone_number": "703-743-5603",
            "fax_number": "703-743-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "DAVINDER PAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.