Individual provider Active NPI

Harish Bhatt

  • Pharmacist
  • Joliet, IL
National Provider Identifier
1104961416
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051031522 Issued in IL
Practice address
2130 W Jefferson St
Joliet, IL 60435-6622
Phone
(815) 725-1102
Fax
(815) 725-7500
NPI assigned
Feb 21, 2007
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051031522 IL Primary

Addresses

Primary practice location

2130 W Jefferson St
Joliet, IL 60435-6622

Mailing address

12357 Mackinac Rd
Homer Glen, IL 60491-9045
Phone (708) 301-3002

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

LicenseStateTypeSpecialty
051031522ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Pharmacy Inc Current Accepting new patients
Basingers Home Medical Equipment Inc Past Accepting new patients
Basingers Pharmacy Inc Past Accepting new patients

Organizations & group practices 5

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1104961416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12357 MACKINAC RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919045",
            "telephone_number": "708-301-3002",
            "fax_number": "815-725-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356622",
            "telephone_number": "815-725-1102",
            "fax_number": "815-725-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "HARISH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051031522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.