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Deactivated NPI 1275868499 Deactivated / Inactive NPI Male Practitioner

Dinesh R Gajjala

Pharmacist • Omak, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dinesh Gajjala has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2009
NPI Deactivation Date August 16, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Dinesh Gajjala was a registered Pharmacist practicing in Omak, WA. Throughout an active medical career spanning 14 years, Dinesh Gajjala provided care at the practice location at 903 ENGH RD until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

903 Engh Rd

Omak, WA 988419627

Telephone 5094221500
Fax 5094221514
Associated Practice Facility / Clinic
🏢 Tigbha Care Llc Facility NPI 1881953594

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Omak, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Omak, WA (7956 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH60011812

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Manmath Dhage

Pharmacist

NPI 1124858345
NPI 1518656677

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 07, 2014

Registered at 903 ENGH RD, OMAK, WA 988419627 (Tel: 5094221500)

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Updated Business Mailing Address August 07, 2014

Registered at 903 ENGH ROAD, OMAK, WA 98841 (Tel: 5094221500)

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Provider Name / Credentials Updated August 07, 2014

Recorded as DINESH GAJJALA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Pharmacist (License #PH60011812 in WA)

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Initial NPI Registration & Enumeration October 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275868499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2009
Last Update: August 07, 2014
Deactivation Date: August 16, 2023

Mailing Address

903 Engh Road

Omak, WA 98841

Phone: 5094221500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.