Individual provider Active NPI

Bhargav Damodar Patel, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1003147109
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045639 Issued in NY
Practice address
1473 Amsterdam Ave
Store #1
New York, NY 10027-7472
Phone
(212) 491-4911
Fax
(212) 491-4916
NPI assigned
Jan 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02263100 NJ
Pharmacist 183500000X 045639 NY Primary

Addresses

Primary practice location

1473 Amsterdam Ave
Store #1
New York, NY 10027-7472

Mailing address

1473 Amsterdam Ave
Store #1
New York, NY 10027-7472
Phone (212) 491-4911

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02263100NJMDPharmacist
045639NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Har Har Pharmacy Corp Current Accepting new patients
133Rd Street Pharmacy Inc Current Accepting new patients
Hamilton Pharmacy Inc. Current Accepting new patients

Locations

1473 Amsterdam Ave
Frnt 1
New York, NY 10027
Phone (212) 491-4911

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1003147109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 AMSTERDAM AVE",
            "address_2": "STORE #1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277472",
            "telephone_number": "212-491-4911",
            "fax_number": "212-491-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 AMSTERDAM AVE",
            "address_2": "STORE #1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277472",
            "telephone_number": "212-491-4911",
            "fax_number": "212-491-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHARGAV",
        "middle_name": "DAMODAR",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02263100",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.