Active NPI
Dhaval Mehta
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1871356410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32876
- Practice address
- 12311 N NC Highway 150
Winston Salem, NC 27127-9730 - Phone
- (336) 764-2581
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- 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 | 32876 | NC | Primary |
Addresses
Primary practice location
12311 N NC Highway 150
Winston Salem, NC 27127-9730
Mailing address
901 Montpelier Dr
Greensboro, NC 27410-5423
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32876 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
12311 N NC Highway 150
Winston Salem, NC 27127
Phone (336) 764-2581
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": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1871356410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MONTPELIER DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12311 N NC HIGHWAY 150",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271279730",
"telephone_number": "336-764-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "DHAVAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "32876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.