Provider Demographics
NPI:1366840167
Name:HIRPARA, HEMANT (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEMANT
Middle Name:
Last Name:HIRPARA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W HOBSONWAY
Mailing Address - Street 2:
Mailing Address - City:BLYTHE
Mailing Address - State:CA
Mailing Address - Zip Code:92225-1514
Mailing Address - Country:US
Mailing Address - Phone:760-922-5165
Mailing Address - Fax:
Practice Address - Street 1:1614 W CENTRAL RD STE 209A
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2453
Practice Address - Country:US
Practice Address - Phone:224-857-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72074183500000X
IL051.300022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist