Mahendra J Chaudhari, RPH, CCP

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

28RI02630200 Issued in NJ

Practice address

18911 S Tamiami TRL Ste 13
Fort Myers, FL 33908-4739

Phone

(239) 658-1048

NPI assigned

Jun 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Siddh Inc

  • Community/Retail Pharmacy
  • Immokalee, FL
  • NPI 1073903233
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1891923355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 PLANTATION PRESERVE CIR S",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 S TAMIAMI TRL STE 13",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084739",
            "telephone_number": "239-658-1048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 W Main St",
            "address_purpose": "LOCATION",
            "city": "Immokalee",
            "state": "FL",
            "postal_code": "341423926",
            "country_code": "US",
            "telephone_number": "239-658-1048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "MAHENDRA",
        "middle_name": "J",
        "credential": "RPH, CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29777",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PS51153",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI02630200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER CERTIFICATION",
            "identifier": "10D2186868",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073903233",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1891152989",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Elizabeth Chatham, M.D.
• Ashley Hope Chatigny, DO
• Dmitriy G Chatskiy, MD
• Anjana M Chaudhari, M.D.
• Ashokkumar B Chaudhari, PA-C
• Mittal Chaudhari, RPH
• Ranjit Kumar Chaudhary, MBBS
• Liset Chaurero, LMHC
• Suresh Chavakula, MD
• Carlos Lighdano Chavez, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.