Active NPI
Mukeshkumar Modi, RPH (PHARMACIST)
- Pharmacist
- West Covina, CA
National Provider Identifier
1376922344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44813
- Practice address
- 2630 E Workman Ave
West Covina, CA 91791-1627 - Phone
- (626) 915-5555
- Fax
- (626) 915-3422
- NPI assigned
- May 23, 2015
- 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 | 44813 | CA | Primary |
Addresses
Primary practice location
2630 E Workman Ave
West Covina, CA 91791-1627
Mailing address
2630 E Workman Ave
West Covina, CA 91791-1627
Phone (626) 915-5555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432339200000",
"number": "1376922344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 E WORKMAN AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911627",
"telephone_number": "626-915-5555",
"fax_number": "626-915-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 E WORKMAN AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911627",
"telephone_number": "626-915-5555",
"fax_number": "626-915-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "MUKESHKUMAR",
"credential": "RPH (PHARMACIST)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-23",
"last_updated": "2015-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.