Individual provider Active NPI

Ankitkumar Desai, PHARMD

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1023440203
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23589 Issued in NC
Practice address
1101 Woodrdg Ctr Dr
Suite 114
Charlotte, NC 28217-1952
Phone
(704) 821-1589
Fax
(704) 821-1645
NPI assigned
Jul 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23589 NC Primary

Addresses

Primary practice location

1101 Woodrdg Ctr Dr
Suite 114
Charlotte, NC 28217-1952

Mailing address

611 W Roosevelt Blvd
Apt 127
Monroe, NC 28110-3434
Phone (704) 340-8004

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1023440203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W ROOSEVELT BLVD",
            "address_2": "APT 127",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103434",
            "telephone_number": "704-340-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WOODRDG CTR DR",
            "address_2": "SUITE 114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171952",
            "telephone_number": "704-821-1589",
            "fax_number": "704-821-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ANKITKUMAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.