Organization Active NPI

Dhanyabapa LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1578895199
Registry record updated Apr 6, 2017
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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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PP482001 Issued in PA
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

Updated by the provider on Apr 6, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1028201990001MedicaidPA
2140123OtherPK

Other names 1

  • E-Z PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

NPI 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

Verify at the official NPI Registry.