Active NPI
Jagdishkumar Thekdi
- Pharmacist
- Mesa, AZ
National Provider Identifier
1942623392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S014749
- Practice address
- 8335 E Guadalupe Rd
Mesa, AZ 85212-9630 - Phone
- (480) 357-9583
- Fax
- (480) 357-9781
- NPI assigned
- Jan 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | S014749 | AZ | Primary |
Addresses
Primary practice location
8335 E Guadalupe Rd
Mesa, AZ 85212-9630
Mailing address
8335 E Guadalupe Rd
Mesa, AZ 85212-9630
Phone (480) 357-9583
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 |
|---|---|---|---|
| S014749 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | 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": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1942623392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8335 E GUADALUPE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852129630",
"telephone_number": "480-357-9583",
"fax_number": "480-357-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335 E GUADALUPE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852129630",
"telephone_number": "480-357-9583",
"fax_number": "480-357-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEKDI",
"first_name": "JAGDISHKUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S014749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- The Wild Within Counseling and Holistic Therapy Group, PLLC
- The Wild Within Counseling and Holistic Therapy PLLC
- The Women's Birth and Wellness Center
- Jismi Theeyattuveli, NP
- James M Theiss, PMHNP-BC
- Therapy for Developmental Disabilities
- Therapy for Developmental Disabilities, LLC
- Therapy LLC
- Therapy One, PLLC
- Kenneth Theriot, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.