Active NPI
Pradeep Amin, RPH
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1558606517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40574
- Practice address
- 4150 N Sierra Way
San Bernardino, CA 92407 - Phone
- (909) 989-9800
- Fax
- (909) 989-9877
- NPI assigned
- Dec 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40574 | CA | Primary |
| Pharmacist | 183500000X | 09406 | NV |
Addresses
Primary practice location
4150 N Sierra Way
San Bernardino, CA 92407
Mailing address
9199 Hunt Rd
Corona, CA 92883-7673
Phone (909) 989-9800
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09406 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akaranta Inc | Current | Accepting new patients | |
| Vitshanta Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1558606517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9199 HUNT RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928837673",
"telephone_number": "909-989-9800",
"fax_number": "909-989-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 N SIERRA WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92407",
"telephone_number": "909-989-9800",
"fax_number": "909-989-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "PRADEEP",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40574",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "09406",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.