Individual provider Active NPI

Jisit Zaveri, PHARM.D

  • Pharmacist
  • Munster, IN
National Provider Identifier
1962113167
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26023700A Issued in IN
Practice address
9108 Columbia Ave Ste B
Munster, IN 46321-2907
Phone
(219) 462-0014
Fax
(219) 462-0019
NPI assigned
Dec 8, 2022
Last updated
May 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS53949 FL
Pharmacist 183500000X 051294264 IL
Pharmacist 183500000X 26023700A IN Primary

Addresses

Primary practice location

9108 Columbia Ave Ste B
Munster, IN 46321-2907

Mailing address

9108 Columbia Ave Ste B
Munster, IN 46321-2907
Phone (219) 462-0014

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

LicenseStateTypeSpecialty
PS53949FLMDPharmacist
051294264ILMDPharmacist
26023700AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Express Pharmacy, LLC Current Accepting new patients
Sudha1 LLC Current Accepting new patients

Locations

8102 Georgia St
Merrillville, IN 46410
Phone (219) 736-5718

9108 Columbia Ave
#B
Munster, IN 46321
Phone (219) 595-5412

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1962113167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 COLUMBIA AVE STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "219-462-0014",
            "fax_number": "219-462-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 COLUMBIA AVE STE B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "219-462-0014",
            "fax_number": "219-462-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVERI",
        "first_name": "JISIT",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53949",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051294264",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.