Active NPI
Bhupendra Mavani
- Pharmacist
- Pomona, CA
National Provider Identifier
1053605816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40701
- Practice address
- 752 E Arrow Hwy
Pomona, CA 91767-2247 - Phone
- (909) 398-1289
- Fax
- (909) 398-1291
- NPI assigned
- Jun 8, 2011
- Last updated
- Dec 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65446 | CA | |
| Pharmacist | 183500000X | PS40701 | FL | Primary |
Addresses
Primary practice location
752 E Arrow Hwy
Pomona, CA 91767-2247
Mailing address
752 E Arrow Hwy
Pomona, CA 91767-2247
Phone (909) 398-1289
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40701 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Pharmacy Inc | Current | Accepting new patients | |
| Express Pharmacy Inc | Current | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Locations
752 E Arrow Hwy
Pomona, CA 91767
Phone (909) 398-1289
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1053605816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672247",
"telephone_number": "909-398-1289",
"fax_number": "909-398-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672247",
"telephone_number": "909-398-1289",
"fax_number": "909-398-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVANI",
"first_name": "BHUPENDRA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65446",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.