Individual provider Active NPI

Ravindra Khimjibhai Malavia, RPH

  • Pharmacist
  • Harrisburg, PA
National Provider Identifier
1285291393
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP453205 Issued in PA
Practice address
4590 Sequoia Dr Apt a
Harrisburg, PA 17109-5167
Phone
(941) 565-0239
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP453205 PA Primary
Pharmacist 183500000X PS58225 FL

Addresses

Primary practice location

4590 Sequoia Dr Apt a
Harrisburg, PA 17109-5167

Mailing address

4590 Sequoia Dr Apt a
Harrisburg, PA 17109-5167
Phone (941) 565-0239

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

LicenseStateTypeSpecialty
PS58225FLMDPharmacist
RP453205PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1285291393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 SEQUOIA DR APT A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095167",
            "telephone_number": "941-565-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 SEQUOIA DR APT A",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095167",
            "telephone_number": "941-565-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVIA",
        "first_name": "RAVINDRA",
        "middle_name": "KHIMJIBHAI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453205",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.