Organization Active NPI

Delta Medical Pharmacy Antioch

  • Long Term Care Pharmacy
  • Antioch, CA
National Provider Identifier
1679328116
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DELTA MEDICAL PHARMACY ANTIOCH
Doing business as
Delta Medical Pharmacy Antioch
Practice address
1888 A St
Antioch, CA 94509-2602
Phone
(925) 499-6368
Fax
(925) 238-0127
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Jatin Kirtikumar Mehta, RPHNPI 1649582305
Title
Director
Phone
(925) 499-6368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1888 A St
Antioch, CA 94509-2602

Mailing address

1888 A St
Antioch, CA 94509-2602
Phone (925) 499-6368

Other names 1

  • Delta Medical Pharmacy Antioch Doing business as

National Provider Directory

National Provider Directory
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.

Locations

1888 A St
Antioch, CA 94509
Phone (925) 499-6368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1679328116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092602",
            "telephone_number": "925-499-6368",
            "fax_number": "925-238-0127"
        },
        {
            "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": "925-499-6368",
            "fax_number": "925-238-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL PHARMACY ANTIOCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "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": "925-499-6368",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Medical Pharmacy Antioch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.