Jaswant Pal Dhaliwal

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302036947 Issued in MI

Practice address

35250 S Gratiot Ave
Clinton TWP, MI 48035-2843

Phone

(586) 791-1550

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04318

  • Community/Retail Pharmacy
  • Clinton Township, MI
  • NPI 1326157603
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04487

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1396151494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49136 W CENTRAL PARK",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483176335",
            "telephone_number": "586-662-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35250 S GRATIOT AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352843",
            "telephone_number": "586-791-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "JASWANT PAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENSE",
            "identifier": "5302036947",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makyla Madison Derue
• Hemlatta C Desai, MD
• Michael Desmarais, LPC
• Judith Desoff, LMSW
• Patricia Lynn Devota, PTA
• Michael D Dienes, DDS
• Chukwudum Dike, MD
• Karen Dimaggio, PHYSICAL THERAPIST
• John Micky Dimasi, DC
• Rodoljub Dimitrijevic, M.D.

• Pharmacist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Pharmacist in Michigan

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

Verify at the official NPI Registry.