Active NPI
Nishant Bipin Thakkar, PHARM.D
- Pharmacist
- Bartlett, IL
National Provider Identifier
1083082143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.294737
- Practice address
- 1347 Hunter Dr
Bartlett, IL 60103-1828 - Phone
- (909) 342-0917
- NPI assigned
- Sep 7, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 051.294737 | IL | Primary |
| Pharmacist | 183500000X | 62541 | CA |
Addresses
Primary practice location
1347 Hunter Dr
Bartlett, IL 60103-1828
Mailing address
1347 Hunter Dr
Bartlett, IL 60103-1828
Phone (909) 342-0917
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 |
|---|---|---|---|
| 62541 | CA | MD | Pharmacist |
| 051.294737 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1083082143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 HUNTER DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601031828",
"telephone_number": "909-342-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 HUNTER DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601031828",
"telephone_number": "909-342-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "NISHANT",
"middle_name": "BIPIN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-07",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.294737",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62541",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.