Active NPI
Chintan Brahmbhatt
- Pharmacist
- Appleton, WI
National Provider Identifier
1174876601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16924-40
- Practice address
- 4301 W Wisconsin Ave
Suite 42 (T-0238)
Appleton, WI 54913-8605 - Phone
- (920) 243-7877
- Fax
- (920) 243-7878
- NPI assigned
- Oct 22, 2012
- Last updated
- Oct 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16924-40 | WI | Primary |
Addresses
Primary practice location
4301 W Wisconsin Ave
Suite 42 (T-0238)
Appleton, WI 54913-8605
Mailing address
4301 W Wisconsin Ave
Suite 42 (T-0238)
Appleton, WI 54913-8605
Phone (920) 243-7877
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16924-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jogi Pharmacy Inc | Current | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1174876601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W WISCONSIN AVE",
"address_2": "SUITE 42 (T-0238)",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138605",
"telephone_number": "920-243-7877",
"fax_number": "920-243-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W WISCONSIN AVE",
"address_2": "SUITE 42 (T-0238)",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138605",
"telephone_number": "920-243-7877",
"fax_number": "920-243-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAHMBHATT",
"first_name": "CHINTAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16924-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.