Active NPI
Shreekant Gandhi, PHARMACIST
- Pharmacist
- Bear, DE
National Provider Identifier
1699370759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0002275
- Practice address
- Super G Pharmacy 0385
300 Eden Square
Bear, DE 19701 - Phone
- (302) 832-0156
- Fax
- (844) 411-6342
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0002275 | DE | Primary |
Addresses
Primary practice location
Super G Pharmacy 0385
300 Eden Square
Bear, DE 19701
Mailing address
Super G Pharmacy 0385
300 Eden Square
Bear, DE 19701
Phone (302) 832-0156
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bear | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| A1-0002275 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1699370759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUPER G PHARMACY 0385",
"address_2": "300 EDEN SQUARE",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-832-0156",
"fax_number": "844-411-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUPER G PHARMACY 0385",
"address_2": "300 EDEN SQUARE",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-832-0156",
"fax_number": "844-411-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "SHREEKANT",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0002275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bear",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "Super G Pharmacy 0385",
"address_2": "300 Eden Square",
"city": "Bear",
"state": "DE",
"country_code": "US",
"postal_code": "19701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.