Active NPI
Bhargav Chimanlal Patel
- Community/Retail Pharmacy
- Upland, CA
National Provider Identifier
1295889509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43654
- Legal business name
- BHARGAV CHIMANLAL PATEL
- Practice address
- 1607 N Mountain Ave
Upland, CA 91784-1732 - Phone
- (909) 985-0914
- Fax
- (909) 985-0893
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bhargav C Patel
- Title
- Owner-Pharmacist
- Phone
- (909) 985-0914
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY43654 | CA | Primary |
Addresses
Primary practice location
1607 N Mountain Ave
Upland, CA 91784-1732
Mailing address
1607 N Mountain Ave
Upland, CA 91784-1732
Phone (909) 985-0914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0589537 | Other | CA | NCPDP NO. |
| PHA436540 | Medicaid | CA |
Other names 1
- Mountain Plaza pharmacy
National Provider Directory
National Provider DirectoryLocations
1607 N Mountain Ave
Upland, CA 91784
Phone (909) 985-0914
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Upland, CA
- NPI 1144374448
-
- Other Technician
- Upland, CA
- NPI 1467598136
-
- Pharmacist
- Upland, CA
- NPI 1144376849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1295889509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841732",
"telephone_number": "909-985-0914",
"fax_number": "909-985-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841732",
"telephone_number": "909-985-0914",
"fax_number": "909-985-0893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHARGAV CHIMANLAL PATEL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "BHARGAV",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER-PHARMACIST",
"authorized_official_telephone_number": "909-985-0914",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY43654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NO.",
"identifier": "0589537",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA436540",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain Plaza pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.