Organization Active NPI

Bhargav Chimanlal Patel

  • Community/Retail Pharmacy
  • Upland, CA
National Provider Identifier
1295889509
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43654 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Bhargav C PatelNPI 1144374448
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0589537OtherCANCPDP NO.
PHA436540MedicaidCA

Other names 1

  • Mountain Plaza pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.