Individual provider Active NPI

Adil Palwala

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1508134131
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056508 Issued in NY
Practice address
18922 45TH Ave
Flushing, NY 11358-3408
Phone
(718) 461-3288
NPI assigned
Dec 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056508 NY Primary

Addresses

Primary practice location

18922 45TH Ave
Flushing, NY 11358-3408

Mailing address

18922 45TH Ave
Flushing, NY 11358-3408
Phone (718) 461-3288

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
056508NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Nexmed Pharmacy LLC. Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1508134131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18922 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583408",
            "telephone_number": "718-461-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18922 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583408",
            "telephone_number": "718-461-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALWALA",
        "first_name": "ADIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-10",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; 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.