Individual provider Active NPI

Dhruv Padodara

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1780103168
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP451892 Issued in PA
Practice address
4133 G St
Philadelphia, PA 19124-5117
Phone
(215) 831-9304
NPI assigned
Sep 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP451892 PA Primary

Addresses

Primary practice location

4133 G St
Philadelphia, PA 19124-5117

Mailing address

2817 River Willow Dr
Furlong, PA 18925-1541

Other practice location 1

45 Cheltenham Ave
Cheltenham, PA 19012-1412
Phone (215) 782-1501

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
RP451892PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbeam Cambria Inc. PastSince Feb 18, 2024 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Dec 16, 2020 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Dec 16, 2020 Accepting new patients
Sunbeam Cambria Inc. Past Accepting new patients

Organizations & group practices 4

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": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1780103168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 RIVER WILLOW DR",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 G ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245117",
            "telephone_number": "215-831-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Cheltenham Ave",
            "address_purpose": "LOCATION",
            "city": "Cheltenham",
            "state": "PA",
            "postal_code": "190121412",
            "country_code": "US",
            "telephone_number": "215-782-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADODARA",
        "first_name": "DHRUV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-17",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451892",
            "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 Dec 14, 2020; 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.