Active NPI
Hemant Parsottamdas Patel
- Pharmacist
- South Jordan, UT
National Provider Identifier
1003402348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7570395-1701
- Practice address
- 11328 S Jordan Gtwy
South Jordan, UT 84095-4112 - Phone
- (435) 215-5864
- NPI assigned
- Dec 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18408 | NV | |
| Pharmacist | 183500000X | 7570395-1701 | UT | Primary |
Addresses
Primary practice location
11328 S Jordan Gtwy
South Jordan, UT 84095-4112
Mailing address
12111 S Lil Dickens LN
Riverton, UT 84065-1651
Phone (435) 215-5864
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18408 | NV | MD | Pharmacist |
| 7570395-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1003402348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12111 S LIL DICKENS LN",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840651651",
"telephone_number": "435-215-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11328 S JORDAN GTWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840954112",
"telephone_number": "435-215-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HEMANT",
"middle_name": "PARSOTTAMDAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-20",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18408",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7570395-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.