Active NPI
Purvish Maheshbhai Mehta, R.PH
- Pharmacist
- Kannapolis, NC
National Provider Identifier
1750670329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035715
- Practice address
- 1509 S Cannon Blvd
Kannapolis, NC 28083-6250 - Phone
- (704) 298-0435
- Fax
- (704) 298-0435
- NPI assigned
- Apr 4, 2011
- 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 | 5302035715 | MI | Primary |
Addresses
Primary practice location
1509 S Cannon Blvd
Kannapolis, NC 28083-6250
Mailing address
1509 S Cannon Blvd
Kannapolis, NC 28083-6250
Phone (704) 298-0435
Other practice location 1
37735 Scotsdale Cir
appt 203
Westland, MI 48185-7566
Phone (734) 469-7654
Other practice location 2
37735 Scotsdale Cir
appt 203
Westland, MI 48185-7566
Phone (734) 469-7654
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035715 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shri Gajanan LLC. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Kannapolis, NC
- NPI 1649784646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1750670329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836250",
"telephone_number": "704-298-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836250",
"telephone_number": "704-298-0435",
"fax_number": "704-298-0435"
}
],
"practiceLocations": [
{
"address_1": "37735 Scotsdale Cir",
"address_2": "appt 203",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481857566",
"country_code": "US",
"telephone_number": "734-469-7654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37735 Scotsdale Cir",
"address_2": "appt 203",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481857566",
"country_code": "US",
"telephone_number": "734-469-7654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "PURVISH",
"middle_name": "MAHESHBHAI",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.