Active NPI
Dolly Davar, RPH
- Pharmacist
- Oakland, CA
National Provider Identifier
1396839221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH48974
- Practice address
- 3451 E 12TH St
Oakland, CA 94601 - Phone
- (510) 535-3375
- Fax
- (510) 535-4169
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH48974 | CA | Primary |
Addresses
Primary practice location
3451 E 12TH St
Oakland, CA 94601
Mailing address
1601 Fruitvale Ave
Oakland, CA 94601-2418
Phone (510) 535-4000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ29799Z | Other | CA | FFS MEDICARE B |
| ZZZ79046Z | Other | CA | FFS MEDICARE B |
| 551975 | Other | CA | FFS MEDICARE A |
| 051822 | Other | CA | FQHC MEDICARE A |
| FHC11991F | Medicaid | CA | |
| FHC71021F | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH48974 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1396839221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012418",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 E 12TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-535-3375",
"fax_number": "510-535-4169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVAR",
"first_name": "DOLLY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH48974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FFS MEDICARE B",
"identifier": "ZZZ29799Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FFS MEDICARE B",
"identifier": "ZZZ79046Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FFS MEDICARE A",
"identifier": "551975",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC MEDICARE A",
"identifier": "051822",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC11991F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC71021F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.