Active NPI
Komal V Bhagat
- Pharmacist
- Billerica, MA
National Provider Identifier
1215218516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH27707
- Practice address
- 446 Boston Rd
Billerica, MA 01821-2714 - Phone
- (978) 670-2188
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- 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 | 3597 | NH | |
| Pharmacist | 183500000X | PH27707 | MA | Primary |
Addresses
Primary practice location
446 Boston Rd
Billerica, MA 01821-2714
Mailing address
446 Boston Rd
Billerica, MA 01821-2714
Phone (978) 670-2188
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 |
|---|---|---|---|
| PH27707 | MA | MD | Pharmacist |
| 3597 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1215218516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 BOSTON RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018212714",
"telephone_number": "978-670-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 BOSTON RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018212714",
"telephone_number": "978-670-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGAT",
"first_name": "KOMAL",
"middle_name": "V",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3597",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.