Individual provider Active NPI

Kirandeep Kaur Dahele, PHARMD

  • Pharmacist
  • Queens Village, NY
National Provider Identifier
1437756434
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066939 Issued in NY
Practice address
21939 89TH Ave
Queens Village, NY 11427-2518
Phone
(718) 479-3774
NPI assigned
Oct 3, 2020
Last updated
Oct 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066939 NY Primary

Addresses

Primary practice location

21939 89TH Ave
Queens Village, NY 11427-2518

Mailing address

8343 247TH St
Bellerose, NY 11426-1726
Phone (516) 304-1055

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kirandahele@gmail.com Direct

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
066939NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC PastSince Oct 11, 2020 Accepting new patients
CVS Albany LLC PastSince Oct 11, 2020 Accepting new patients

Organizations & group practices 2

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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1437756434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 247TH ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261726",
            "telephone_number": "516-304-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21939 89TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272518",
            "telephone_number": "718-479-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHELE",
        "first_name": "KIRANDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kirandahele@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21939 89th Ave",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114272518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.