Individual provider Active NPI

Bipinchandra Vajeshanker Dave

  • Pharmacist
  • New York, NY
National Provider Identifier
1306995147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29832 Issued in NY
Practice address
115 W 116TH St
New York, NY 10026-2521
Phone
(212) 961-5741
Fax
(212) 865-3581
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29832 NY Primary

Addresses

Primary practice location

115 W 116TH St
New York, NY 10026-2521

Mailing address

115 West 116TH Street
New York, NY 10026
Phone (212) 961-5741

Other identifiers 1

IdentifierTypeStateIssuer
29832OtherNYPHARMACIST

Other names 1

  • Bipinchandra V Dave Professional name

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

State licenses

LicenseStateTypeSpecialty
29832NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306995147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WEST 116TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10026",
            "telephone_number": "212-961-5741",
            "fax_number": "212-865-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262521",
            "telephone_number": "212-961-5741",
            "fax_number": "212-865-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "BIPINCHANDRA",
        "middle_name": "VAJESHANKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "29832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "29832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIPINCHANDRA",
            "last_name": "DAVE",
            "middle_name": "V",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.