Healthcare Provider Details

I. General information

NPI: 1497325211
Provider Name (Legal Business Name): NILKANTH AMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 ROCKWOOD AVE STE 120
CALEXICO CA
92231-4405
US

IV. Provider business mailing address

120 E 4TH ST STE 1
CALEXICO CA
92231-2638
US

V. Phone/Fax

Practice location:
  • Phone: 442-325-8310
  • Fax: 442-325-8311
Mailing address:
  • Phone: 760-592-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANKIT PATEL
Title or Position: OWNER/PRESIDENT
Credential: RPH
Phone: 916-802-1554