Active NPI
Bhupen Dave, PHARMACIST
- Pharmacist
- Spring Valley, NY
National Provider Identifier
1346669108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035356-1
- Practice address
- 180 E. Central Ave
Springvalley, NY 10977 - Phone
- (845) 352-0490
- Fax
- (845) 352-0524
- NPI assigned
- Apr 9, 2014
- Last updated
- Apr 9, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035356-1 | NY | Primary |
| Pharmacist | 183500000X | 28RI02007900 | NJ |
Addresses
Primary practice location
180 E. Central Ave
Springvalley, NY 10977
Mailing address
180 East Central Avenue
Spring Valley, NY 10977
Phone (845) 352-0490
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02007900 | NJ | MD | Pharmacist |
| 035356-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pny Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1346669108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 EAST CENTRAL AVENUE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "10977",
"telephone_number": "845-352-0490",
"fax_number": "845-352-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E. CENTRAL AVE",
"city": "SPRINGVALLEY",
"state": "NY",
"postal_code": "10977",
"telephone_number": "845-352-0490",
"fax_number": "845-352-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "BHUPEN",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035356-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02007900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.