Active NPI
Jignesh Bhagat
- Pharmacist
- Plymouth, MI
National Provider Identifier
1689031650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302036623
- Practice address
- 9131 General CT
Plymouth, MI 48170-4621 - Phone
- (734) 416-1717
- NPI assigned
- Jan 21, 2016
- 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 | 5302036623 | MI | Primary |
| Pharmacist | 183500000X | PS39508 | FL |
Addresses
Primary practice location
9131 General CT
Plymouth, MI 48170-4621
Mailing address
50209 Black Horse LN
Canton, MI 48188-2287
Phone (734) 858-7088
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 |
|---|---|---|---|
| PS39508 | FL | MD | Pharmacist |
| 5302036623 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453593600000",
"number": "1689031650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50209 BLACK HORSE LN",
"city": "CANTON",
"state": "MI",
"postal_code": "481882287",
"telephone_number": "734-858-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9131 GENERAL CT",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704621",
"telephone_number": "734-416-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGAT",
"first_name": "JIGNESH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036623",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS39508",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.