Individual provider Active NPI

Jayant Dholaria, PHARM.D

  • Pharmacist
  • Arlington, TX
National Provider Identifier
1245773159
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59586 Issued in TX
Practice address
3706 Grammercy Park Dr
Apt 237
Arlington, TX 76015-4403
Phone
(201) 665-9093
NPI assigned
Nov 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59586 TX Primary

Addresses

Primary practice location

3706 Grammercy Park Dr
Apt 237
Arlington, TX 76015-4403

Mailing address

3706 Grammercy Park Dr
Apt 237
Arlington, TX 76015-4403
Phone (201) 665-9093

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
59586TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1245773159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 GRAMMERCY PARK DR",
            "address_2": "APT 237",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154403",
            "telephone_number": "201-665-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 GRAMMERCY PARK DR",
            "address_2": "APT 237",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154403",
            "telephone_number": "201-665-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOLARIA",
        "first_name": "JAYANT",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-25",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.