Individual provider Active NPI

Rootvik D Mehta, PHARM.D

  • Pharmacist
  • Browns Mills, NJ
National Provider Identifier
1093338808
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI0850600 Issued in NJ
Practice address
6 Earlin Ave Ste 130
Browns Mills, NJ 08015-1768
Phone
(609) 726-5800
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI0850600 NJ Primary

Addresses

Primary practice location

6 Earlin Ave Ste 130
Browns Mills, NJ 08015-1768

Mailing address

6 Earlin Ave Ste 130
Browns Mills, NJ 08015-1768
Phone (609) 726-5800

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

LicenseStateTypeSpecialty
28RI0850600NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgies Browns Mills Inc CurrentSince Feb 27, 2022 Accepting new patients

Locations

6 Earlin Ave
Ste 130
Browns Mills, NJ 08015
Phone (609) 726-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1093338808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EARLIN AVE STE 130",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151768",
            "telephone_number": "609-726-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EARLIN AVE STE 130",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151768",
            "telephone_number": "609-726-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ROOTVIK",
        "middle_name": "D",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI0850600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.