Active NPI
Devender S Dhanda, RPH
- Pharmacist
- Renton, WA
National Provider Identifier
1235305293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00064456
- Practice address
- 3116 NE Sunset Blvd
Renton, WA 98056-3337 - Phone
- (425) 793-5143
- Fax
- (425) 793-5329
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00064456 | WA | Primary |
Addresses
Primary practice location
3116 NE Sunset Blvd
Renton, WA 98056-3337
Mailing address
15021 SE 177TH PL
Apt. 11-J
Renton, WA 98058-9074
Phone (402) 203-0542
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00064456 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1235305293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15021 SE 177TH PL",
"address_2": "APT. 11-J",
"city": "RENTON",
"state": "WA",
"postal_code": "980589074",
"telephone_number": "402-203-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 NE SUNSET BLVD",
"city": "RENTON",
"state": "WA",
"postal_code": "980563337",
"telephone_number": "425-793-5143",
"fax_number": "425-793-5329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHANDA",
"first_name": "DEVENDER",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00064456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.