Active NPI
Rachit M Mehta, PHARMD
- Student in an Organized Health Care Education/Training Program
- Yuma, AZ
National Provider Identifier
1023465556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- I012368
- Practice address
- 1150 W 8TH St
Yuma, AZ 85364-2863 - Phone
- (928) 783-6834
- NPI assigned
- May 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | I012368 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PI13145 | ME | |
| Pharmacist | 183500000X | S022180 | AZ |
Addresses
Primary practice location
1150 W 8TH St
Yuma, AZ 85364-2863
Mailing address
2575 W 24TH St
Apt #209
Yuma, AZ 85364-6063
Phone (928) 210-9350
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S022180 | AZ | MD | Pharmacist |
| I012368 | AZ | MD | Student in an Organized Health Care Education/Training Program |
| PI13145 | ME | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Yuma, AZ
- NPI 1437164779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1023465556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 W 24TH ST",
"address_2": "APT #209",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646063",
"telephone_number": "928-210-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W 8TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642863",
"telephone_number": "928-783-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "RACHIT",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": "I012368",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ME",
"license": "PI13145",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.