Provider Demographics
NPI:1548630734
Name:KACHHADIA, JALPESH (RPH)
Entity type:Individual
Prefix:MR
First Name:JALPESH
Middle Name:
Last Name:KACHHADIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 S HIGHWAY 395
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-2620
Mailing Address - Country:US
Mailing Address - Phone:541-567-7805
Mailing Address - Fax:
Practice Address - Street 1:835 S HIGHWAY 395
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-2620
Practice Address - Country:US
Practice Address - Phone:541-567-7805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0015017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist