Individual provider Active NPI

Drusty Bavishi, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Columbus, NJ
National Provider Identifier
1447501085
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
28RI03703200 Issued in NJ
Practice address
42 Wildflower CT
Columbus, NJ 08022-1976
Phone
(908) 672-9768
NPI assigned
Sep 23, 2012
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20947 MD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 28RI03703200 NJ Primary

Addresses

Primary practice location

42 Wildflower CT
Columbus, NJ 08022-1976

Mailing address

13 Yorkshire Dr
Voorhees, NJ 08043-3728

Other practice location 1

5350 Westbard Ave
Bethesda, MD 20816-1410
Phone (301) 656-2477

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
20947MDMDPharmacist
28RI03703200NJMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1447501085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 YORKSHIRE DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WILDFLOWER CT",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221976",
            "telephone_number": "908-672-9768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Westbard Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208161410",
            "country_code": "US",
            "telephone_number": "301-656-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAVISHI",
        "first_name": "DRUSTY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "20947",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI03703200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.