Individual provider Active NPI

Dimple Piyushkumar Lagdiwala I, SUPERVISING PHAR

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1184859902
Registry record updated Jun 2, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 18, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047293 Issued in NY
Practice address
115A Featherbed LN
Bronx, NY 10452-1615
Phone
(718) 466-1790
Fax
(718) 466-1076
NPI assigned
May 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047293 NY Primary

Addresses

Primary practice location

115A Featherbed LN
Bronx, NY 10452-1615

Mailing address

7 Eventide CT
Morris Plains, NJ 07950-1155
Phone (973) 640-3916

Other identifiers 1

IdentifierTypeStateIssuer
047293OtherNYNYWTORK LICENCE

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
047293NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Starhill Pharmacy Corp Past Accepting new patients

Organizations & group practices 1

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1184859902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVENTIDE CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501155",
            "telephone_number": "973-640-3916",
            "fax_number": "718-466-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115A FEATHERBED LN",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521615",
            "telephone_number": "718-466-1790",
            "fax_number": "718-466-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGDIWALA",
        "first_name": "DIMPLE",
        "middle_name": "PIYUSHKUMAR",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "SUPERVISING PHAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYWTORK LICENCE",
            "identifier": "047293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.