Individual provider Active NPI

Rahim Aziz Dhalla, PHARMD, RPH

  • Pharmacist
  • Providence, RI
National Provider Identifier
1851668438
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH233381 Issued in MA
Practice address
903 Providence PL
Suite 112
Providence, RI 02903-7000
Phone
(617) 835-8834
NPI assigned
Nov 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH233381 MA Primary
Pharmacist 183500000X RPH05002 RI

Addresses

Primary practice location

903 Providence PL
Suite 112
Providence, RI 02903-7000

Mailing address

903 Providence PL
Suite 112
Providence, RI 02903-7000
Phone (617) 835-8834

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
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH233381MAMDPharmacist
RPH05002RIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1851668438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PROVIDENCE PL",
            "address_2": "SUITE 112",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029037000",
            "telephone_number": "617-835-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PROVIDENCE PL",
            "address_2": "SUITE 112",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029037000",
            "telephone_number": "617-835-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALLA",
        "first_name": "RAHIM",
        "middle_name": "AZIZ",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH233381",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.