Individual provider Active NPI

Vipul V Bhavsar, M.PHARM.

  • Pharmacist
  • Bordentown, NJ
National Provider Identifier
1942512926
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02592400 Issued in NJ
Practice address
250 Route 130 Unit C
Bordentown, NJ 08505-2112
Phone
(609) 747-5758
Fax
(609) 298-2841
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02592400 NJ Primary

Addresses

Primary practice location

250 Route 130 Unit C
Bordentown, NJ 08505-2112

Mailing address

250 Route 130 Unit C
Bordentown, NJ 08505-2112
Phone (848) 219-4545

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
28RI02592400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KP Pharmacy & Surgicals Limited Liability Company Current Accepting new patients

Locations

310 Ward Ave
Ste 2
Bordentown, NJ 08505
Phone (609) 747-5758

Organizations & group practices 1

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1942512926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ROUTE 130 UNIT C",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052112",
            "telephone_number": "848-219-4545",
            "fax_number": "609-298-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ROUTE 130 UNIT C",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052112",
            "telephone_number": "609-747-5758",
            "fax_number": "609-298-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "VIPUL",
        "middle_name": "V",
        "credential": "M.PHARM.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02592400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.