Nisha Bhat, PHARMD
Individual provider Active NPI Pharmacist · Batavia, IL
NPI 1114214152 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1114214152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.294911 (IL)
- Practice address
- 115 N Randall Rd
Batavia, IL 60510-9209 - Phone
- (630) 406-5904
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.294911 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.294911 | IL | Yes |
Addresses
Primary practice location
115 N Randall Rd
Batavia, IL 60510-9209
Mailing address
115 N Randall Rd
Batavia, IL 60510-9209
Phone (630) 406-5904
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.