Active NPI
Rajni B Gandhi, PHARMACIST
- Pharmacist
- Charlotte, NC
National Provider Identifier
1609173301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13477
- Practice address
- 1408 Archdale Dr
Charlotte, NC 28210-4421 - Phone
- (980) 355-0906
- Fax
- (704) 705-1236
- NPI assigned
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 13477 | NC | Primary |
| Pharmacist | 183500000X | 10781 | SC |
Addresses
Primary practice location
1408 Archdale Dr
Charlotte, NC 28210-4421
Mailing address
1408 Archdale Dr
Charlotte, NC 28210-4421
Phone (980) 355-0906
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10781 | Other | SC | SOUTH CAROLINA BOARD OF PHARMACY |
| 13477 | Other | NC | NC BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13477 | NC | MD | Oral and Maxillofacial Radiology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A2Z Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1801193503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1609173301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 ARCHDALE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104421",
"telephone_number": "980-355-0906",
"fax_number": "704-705-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 ARCHDALE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104421",
"telephone_number": "980-355-0906",
"fax_number": "704-705-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "RAJNI",
"middle_name": "B",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13477",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10781",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA BOARD OF PHARMACY",
"identifier": "10781",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHARMACY",
"identifier": "13477",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.