Individual provider Active NPI

Dhanaraj Kabali, B.S. PHARM MBA

  • Pharmacist
  • New Cumberland, PA
National Provider Identifier
1508063785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33788 Issued in NY
Practice address
118 Pin Oak Dr
New Cumberland, PA 17070-2356
Phone
(717) 774-8692
Fax
(717) 774-8693
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33788 NY Primary

Addresses

Primary practice location

118 Pin Oak Dr
New Cumberland, PA 17070-2356

Mailing address

118 Pin Oak Dr
New Cumberland, PA 17070-2356
Phone (717) 774-8692

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

LicenseStateTypeSpecialty
33788NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508063785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PIN OAK DR",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702356",
            "telephone_number": "717-774-8692",
            "fax_number": "717-774-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PIN OAK DR",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702356",
            "telephone_number": "717-774-8692",
            "fax_number": "717-774-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABALI",
        "first_name": "DHANARAJ",
        "credential": "B.S. PHARM  MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "33788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Cumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.