Active NPI
Jimesh J Raval, PHARMD
- Pharmacist
- Shelby TWP, MI
National Provider Identifier
1942831664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041813
- Practice address
- 15121 24 Mile Rd
Shelby TWP, MI 48315-2109 - Phone
- (586) 677-4015
- NPI assigned
- Jan 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 5302041813 | MI | Primary |
Addresses
Primary practice location
15121 24 Mile Rd
Shelby TWP, MI 48315-2109
Mailing address
35616 Eastmont Dr
Sterling Heights, MI 48312-3539
Phone (586) 935-8779
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041813 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1942831664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35616 EASTMONT DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483123539",
"telephone_number": "586-935-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15121 24 MILE RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483152109",
"telephone_number": "586-677-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVAL",
"first_name": "JIMESH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.