Active NPI
Ketan Chaudhari
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1508223512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442048
- Practice address
- 5701 Chestnut St
Philadelphia, PA 19139-3235 - Phone
- (215) 307-3609
- Fax
- (215) 253-5192
- NPI assigned
- Jan 21, 2016
- Last updated
- Jan 21, 2016
- Sex
- Male
- 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 | RP442048 | PA | Primary |
Addresses
Primary practice location
5701 Chestnut St
Philadelphia, PA 19139-3235
Mailing address
5701 Chestnut St
Philadelphia, PA 19139-3235
Phone (215) 307-3609
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP442048 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BP Pharmacy Inc | Current | Accepting new patients |
Locations
5701 Chestnut St
Philadelphia, PA 19139
Phone (215) 307-3609
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, 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": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1508223512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393235",
"telephone_number": "215-307-3609",
"fax_number": "215-253-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393235",
"telephone_number": "215-307-3609",
"fax_number": "215-253-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARI",
"first_name": "KETAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.