Active NPI
Deepti G. Patel, PHARMD
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1003185208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20370
- Practice address
- 631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370 - Phone
- (770) 339-2029
- NPI assigned
- Dec 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20370 | MD | Primary |
Addresses
Primary practice location
631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370
Mailing address
631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370
Phone (770) 339-2029
Other practice location 1
3309 Ambra Ct
Ellicott City, MD 21042-2624
Phone (410) 790-0640
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20370 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003185208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PROFESSIONAL DR STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463370",
"telephone_number": "770-339-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 PROFESSIONAL DR STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463370",
"telephone_number": "770-339-2029"
}
],
"practiceLocations": [
{
"address_1": "3309 Ambra Ct",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210422624",
"country_code": "US",
"telephone_number": "410-790-0640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "DEEPTI",
"middle_name": "G.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.