Individual provider Active NPI

Purvish Maheshbhai Mehta, R.PH

  • Pharmacist
  • Kannapolis, NC
National Provider Identifier
1750670329
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302035715 Issued in MI
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

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302035715MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shri Gajanan LLC. PastSince Mar 6, 2022 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.

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.

Verify at the official NPI Registry.