Individual provider Active NPI

Jinal Mehta

  • Pharmacist
  • Overland Park, KS
National Provider Identifier
1922602887
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-14475 Issued in KS
Practice address
9521 Mission Rd
Overland Park, KS 66206-2136
Phone
(913) 383-2823
Fax
(913) 341-2839
NPI assigned
Nov 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2009020977 MO
Pharmacist 183500000X 1-14475 KS Primary

Addresses

Primary practice location

9521 Mission Rd
Overland Park, KS 66206-2136

Mailing address

9521 Mission Rd
Overland Park, KS 66206-2136
Phone (913) 383-2823

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
1-14475KSMDPharmacist
2009020977MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas CVS Pharmacy, L.L.C PastSince Nov 29, 2020 Accepting new patients
Kansas CVS Pharmacy LLC PastSince Nov 29, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1922602887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 MISSION RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662062136",
            "telephone_number": "913-383-2823",
            "fax_number": "913-341-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 MISSION RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662062136",
            "telephone_number": "913-383-2823",
            "fax_number": "913-341-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JINAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009020977",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.