Mitali H Mehta, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

22389 Issued in NC

Practice address

424 W Summerchase Dr
Fayetteville, NC 28311-6305

Phone

(706) 631-8407

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1508119256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W SUMMERCHASE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116305",
            "telephone_number": "706-631-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W SUMMERCHASE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116305",
            "telephone_number": "706-631-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MITALI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22389",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208331",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mehan, PHARMD
• Mehta Medical Services
• Dipali Sandip Mehta, AA
• Hasumati Vijaykumar Mehta, M.D.
• Kamya Manojkumar Mehta
• Neil Darshy Mehta, MD
• Purvi Manish Mehta, PA
• Margaret Lynn Mejia
• Savannah Mejia
• Carmen M Melendez-Montes

• Pharmacist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.