Active NPI
Nimeshkumar Gandhi, PHARM D
- Pharmacist
- Modesto, CA
National Provider Identifier
1841852258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61180
- Practice address
- 2601 Oakdale Rd Ste E
Modesto, CA 95355-2257 - Phone
- (209) 523-4932
- Fax
- (209) 526-9945
- NPI assigned
- Jul 5, 2019
- 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 | 61180 | CA | Primary |
Addresses
Primary practice location
2601 Oakdale Rd Ste E
Modesto, CA 95355-2257
Mailing address
2601 Oakdale Rd Ste E
Modesto, CA 95355-2257
Phone (209) 523-4932
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | none |
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60069 | CA | MD | Pharmacist |
| 61180 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Healthcare Inc | Current | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
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.
-
dba Santa Rosa Pharmacy
- Community/Retail Pharmacy
- Santa Rosa, CA
- NPI 1902625924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1841852258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 OAKDALE RD STE E",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552257",
"telephone_number": "209-523-4932",
"fax_number": "209-526-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 OAKDALE RD STE E",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552257",
"telephone_number": "209-523-4932",
"fax_number": "209-526-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "NIMESHKUMAR",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61180",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "none",
"affiliation": "N",
"address_1": "2601 Oakdale Rd Ste E",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953552257",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.