Delta Medical Pharmacy Antioch

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DELTA MEDICAL PHARMACY ANTIOCH

Practice address

1888 A St
Antioch, CA 94509-2602

Phone

(925) 695-6987

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jatin Kirtikumar MehtaNPI 1649582305

Title

Director

Phone

(925) 695-6987

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Delta Medical Pharmacy Antioch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delta Medical Pharmacy Antioch

  • Long Term Care Pharmacy
  • Antioch, CA
  • NPI 1679328116
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jatin Kirtikumar Mehta, RPH

  • Pharmacist
  • Antioch, CA
  • NPI 1649582305
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1427688316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CARLISLE CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131761",
            "telephone_number": "925-695-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092602",
            "telephone_number": "925-695-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL PHARMACY ANTIOCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "JATIN",
        "authorized_official_middle_name": "KIRTIKUMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-695-6987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Delgado
• Sabrina Delgado
• Jessica Naycalo Deloso, DDS
• Roberto Jose Deloso, D.D.S.
• Delta Bay Healthcare (Acavam Home Health)
• Delta Medical Pharmacy Antioch
• Delta Pediatrics Medical Group, Inc. (Abbas Mahdavi, M.D., Inc.)
• Debra J. Denherder, MD
• Dennis Zai, M.D., Inc
• Jessica Ellen Deno

• Pharmacy in Antioch, CA
• Providers in Antioch, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.