Active NPI
Dhanyabapa LLC
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
National Provider Identifier
1578895199
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Sep 25, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PP482001
- Legal business name
- DHANYABAPA LLC
- Practice address
- 1701 Cottman Ave
Philadelphia, PA 19111-3802 - Phone
- (215) 728-6300
- Fax
- (215) 728-6302
- NPI assigned
- Feb 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shardaben Patel
- Title
- Member
- Phone
- (215) 728-6300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP482001 | PA | Primary |
| Pharmacy | 333600000X |
Addresses
Primary practice location
1701 Cottman Ave
Philadelphia, PA 19111-3802
Mailing address
1701 Cottman Ave
Philadelphia, PA 19111-3802
Phone (215) 728-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028201990001 | Medicaid | PA | |
| 2140123 | Other | PK |
Other names 1
- E-Z PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1578895199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113802",
"telephone_number": "215-728-6300",
"fax_number": "215-728-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113802",
"telephone_number": "215-728-6300",
"fax_number": "215-728-6302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHANYABAPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-06",
"last_updated": "2017-04-06",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SHARDABEN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "215-728-6300"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP482001",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028201990001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140123",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "E-Z PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.