Active NPI
Bhargav C. Patel & Ricky B. Patel
Doing business as Medical Arts Rexall Pharmacy
- Community/Retail Pharmacy
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricky B Patel
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0511039 | Other | CA | NCPDP |
| PHY57301 | Other | CA | STATE PHARMACY LICENSE |
| PHA573010 | Medicaid | CA |
Other names 1
- Medical Arts Rexall Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220714002320 | CA | Part B Supplier - Pharmacy | 9436530920 | Practice locations: Anaheim, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Anaheim, CA
- NPI 1104707488
-
- Pharmacist
- Anaheim, CA
- NPI 1336642966
-
- Pharmacist
- Anaheim, CA
- NPI 1528187630
-
- Chiropractor
- Dearborn, MI
- NPI 1336204247
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.