Active NPI
Jagdish Bhakta, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1821459462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39305
- Practice address
- 502 New Valley Hi Dr
San Antonio, TX 78227-4394 - Phone
- (210) 673-0817
- NPI assigned
- Mar 10, 2016
- Last updated
- Mar 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-12951 | KS | |
| Pharmacist | 183500000X | 39305 | TX | Primary |
Addresses
Primary practice location
502 New Valley Hi Dr
San Antonio, TX 78227-4394
Mailing address
6051 Valparaiso Way
San Antonio, TX 78249-4870
Phone (210) 468-5444
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 |
|---|---|---|---|
| 1-12951 | KS | MD | Pharmacist |
| 39305 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1821459462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6051 VALPARAISO WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782494870",
"telephone_number": "210-468-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 NEW VALLEY HI DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782274394",
"telephone_number": "210-673-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "JAGDISH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-12951",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.