Active NPI
Anand Dullabh
- Pharmacist
- Manteca, CA
National Provider Identifier
1790466928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH84480
- Practice address
- 280 Spreckels Ave
Manteca, CA 95336-6005 - Phone
- (209) 823-9982
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH84480 | CA | Primary |
Addresses
Primary practice location
280 Spreckels Ave
Manteca, CA 95336-6005
Mailing address
4030 E Morada LN Apt 2301
Stockton, CA 95212-1650
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 |
|---|---|---|---|
| RPH84480 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1790466928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 E MORADA LN APT 2301",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952121650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SPRECKELS AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953366005",
"telephone_number": "209-823-9982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULLABH",
"first_name": "ANAND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH84480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
- Abigail Michelle Dotinga
- Dr. Tram Ton-Tran OD Inc (ICare Family Optometry)
- Cheryl Drace
- DRS Salem and Soliman Dental Corp (Kids Smile Dental and Orthodontics)
- Cinthia Duenas
- Jessica Duncan, BCBA
- Raina Duong, PHARM.D.
- Trang Thuy Duong, DDS, MS
- Dva Healthcare Renal Care Inc (Manteca Dialysis)
- Andrew Joseph Easton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.