Sandeep Maganlal Mehta, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302035514 Issued in MI

Practice address

955 S Bailey Ave
South Haven, MI 49090-9701

Phone

(269) 639-2858

Fax

(269) 639-2860

NPI assigned

Apr 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902021132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 MICHIGAN AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901533",
            "telephone_number": "269-841-5656",
            "fax_number": "269-841-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S BAILEY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909701",
            "telephone_number": "269-639-2858",
            "fax_number": "269-639-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SANDEEP",
        "middle_name": "MAGANLAL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Massenburg
• Sharon Massey
• Ronald Maxwell Masters, D.C.
• Max Masters DC PLLC
• Christin M McFadyen, LPC
• Meijer, Inc. (Meijer Pharmacy #271)
• Kathleen M Miles
• Addison Miller
• Brice J Miller, PA-C
• MJR Wellness Counseling, PLLC

• Pharmacist in South Haven, MI
• Providers in South Haven, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.