Active NPI
Hetal R Thakkar
- Pharmacist
- Folsom, CA
National Provider Identifier
1720543523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72561
- Practice address
- 9479 Madison Ave
Folsom, CA 95630-2092 - Phone
- (917) 987-0342
- NPI assigned
- Feb 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 72561 | CA | Primary |
Addresses
Primary practice location
9479 Madison Ave
Folsom, CA 95630-2092
Mailing address
8070 Marigola Dr
El Dorado Hills, CA 95762-5526
Phone (916) 365-7008
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 |
|---|---|---|---|
| 72561 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1720543523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8070 MARIGOLA DR",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957625526",
"telephone_number": "916-365-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9479 MADISON AVE",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302092",
"telephone_number": "917-987-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "HETAL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
- Anjeleah Teddington
- Kimberly A Tellman, LMFT
- Erik Terriquez, MD
- Tet Toe MD Inc
- Haley N Texley, NP
- The Centerfor Plastic and Reconstructive Surgery of Sacramento (The Zimmerman Medical Center for Plastic Surgery)
- The Dermatology Center of Northern California, Inc.
- The Latch Loft
- The Place Within Counseling Folsom
- The Relationship Elevation and Learning Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.