Organization Active NPI

Bhargav C. Patel & Ricky B. Patel

Doing business as Medical Arts Rexall Pharmacy

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1063599645
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BHARGAV C. PATEL & RICKY B. PATEL
Doing business as
Medical Arts Rexall Pharmacy
Practice address
1120 W la Palma
Suite #1
Anaheim, CA 92801
Phone
(714) 776-2800
Fax
(714) 776-2118
NPI assigned
Nov 1, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ricky B PatelNPI 1104707488
Title
Pharmacist
Phone
(714) 776-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1120 W la Palma
Suite #1
Anaheim, CA 92801

Mailing address

1120 W la Palma
Suite #1
Anaheim, CA 92801
Phone (714) 776-2800

Other identifiers 3

IdentifierTypeStateIssuer
0511039OtherCANCPDP
PHY57301OtherCASTATE PHARMACY LICENSE
PHA573010MedicaidCA

Other names 1

  • Medical Arts Rexall Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714002320 CA Part B Supplier - Pharmacy 9436530920 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

1120 W La Palma Ave
Ste 1
Anaheim, CA 92801
Phone (714) 776-2800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063599645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA",
            "address_2": "SUITE #1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-776-2800",
            "fax_number": "714-776-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA",
            "address_2": "SUITE #1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-776-2800",
            "fax_number": "714-776-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARGAV C. PATEL & RICKY B. PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-776-2800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0511039",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PHY57301",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA573010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Rexall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Arts Rexall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.