Active NPI
Delta Medical Pharmacy Antioch
- Long Term Care Pharmacy
- Antioch, CA
National Provider Identifier
1679328116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jatin Kirtikumar Mehta, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Delta Medical Pharmacy Antioch
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Antioch, CA
- NPI 1427688316
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.
-
- Pharmacist
- Antioch, CA
- NPI 1649582305
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.