Individual provider Active NPI

Sirtaj Singh

  • Pharmacist
  • Madera, CA
National Provider Identifier
1831790260
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69351 Issued in CA
Practice address
402 S Madera Ave Ste a
Madera, CA 93637-3203
Phone
(559) 674-8553
Fax
(559) 674-0833
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69351 CA Primary

Addresses

Primary practice location

402 S Madera Ave Ste a
Madera, CA 93637-3203

Mailing address

402 S Madera Ave Ste a
Madera, CA 93637-3203
Phone (559) 674-8553

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

LicenseStateTypeSpecialty
69351CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mel Pharm Inc. CurrentSince Nov 8, 2020 Accepting new patients
Global Medical Therapeutics Inc Current Accepting new patients
Mel Pharm Inc. CurrentSince Nov 8, 2020 Accepting new patients

Locations

402 S Madera Ave
Madera, CA 93637

402 S Madera Ave
Ste A
Madera, CA 93637
Phone (559) 674-8553

Organizations & group practices 3

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1831790260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S MADERA AVE STE A",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373203",
            "telephone_number": "559-674-8553",
            "fax_number": "559-674-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S MADERA AVE STE A",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373203",
            "telephone_number": "559-674-8553",
            "fax_number": "559-674-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SIRTAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.