RAVI GANDHI (NPI# 1639709520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639709520 |
| Entity Type | Individual |
| Full Name | RAVI GANDHI |
| Credential | PHARMD |
| Practice Address |
12648 Bentley St Waterford CA 95386-9009 |
| Mailing Address |
3833 Hyacinth Dr Ceres CA 95307-9806 |
| Practice Telephone | 2098748185 |
| Mailing Telephone | 2096021118 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RPH81515 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174787337 | Ravi Hemant Gandhi | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2008-07-16 |
| Street Address |
12648 BENTLEY ST |
| City | WATERFORD |
| State | CA |
| Zip Code | 95386-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857658 | Diana Hollingshead-parker | Registered Nurse | 421 Tim Bell Rd, Waterford, CA 95386 | 2014-06-25 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| 1588664684 | Don Michael Endress | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2005-07-29 |
| 1649527664 | Eric Gust Benson | Registered Nurse | 12700 Welch St, Waterford, CA 95386-8765 | 2012-08-08 |
| 1326106501 | Don Michael Endress M.d. | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2006-12-04 |
| 1356686992 | Kimberlie Ann Payne | Occupational Therapy Assistant | 13209 Fountain Dr, Waterford, CA 95386-8858 | 2012-12-08 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1336176122 | Maximilian A. Schanderl | Pharmacist | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-06-27 |
| 1518992031 | Tower Pharmacy, Inc. | Pharmacy | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-07-12 |
| 1588762538 | Krishnamoorthi Krishnamoorthi | Internal Medicine | 324 F St, Waterford, CA 95386-9013 | 2006-09-20 |
| Find all providers in zip 95386 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| 1942708607 | Gary Jules Bango | Pharmacy | 155 Waterford Parkway N, Waterford, CT 06385-1208 | 2018-01-29 |
| 1003272436 | Lakeview Pharmacy, LLC | Pharmacy | 3901 Highland Rd Ste D2, Waterford, MI 48328-2162 | 2016-01-14 |
| 1841674868 | Noble Care Apothecary PC | Pharmacy | 7362 Highland Rd, Waterford, MI 48327-1508 | 2015-07-20 |
| 1861817975 | H & P Food Town Pharmacy Inc | Pharmacy | 7300 Highland Rd Ste A, Waterford, MI 48327-1508 | 2014-02-26 |
| 1275718686 | Genoa Healthcare, LLC | Pharmacy | 279 Summit Dr Ste 200, Waterford, MI 48328-3364 | 2008-01-03 |
| 1063524916 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4300 Dixie Hwy, Waterford, MI 48329-4070 | 2006-08-31 |
| 1447362371 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 7960 Cooley Lake Rd, Waterford, MI 48327-4184 | 2006-08-31 |
| 1124413158 | Jwa Services Inc | Pharmacy | 92 Boston Post Rd, Waterford, CT 06385-2421 | 2015-04-07 |
| 1124112644 | John R Slagle | Pharmacy | 216 High St, Waterford, PA 16441 | 2006-10-02 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.