Active NPI
Justeena Patel, PHARM D
- Pharmacist
- Webster, MA
National Provider Identifier
1003580432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240218
- Practice address
- 100 E Main St
Webster, MA 01570-1712 - Phone
- (508) 943-4375
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PH240218 | MA | Primary |
Addresses
Primary practice location
100 E Main St
Webster, MA 01570-1712
Mailing address
8 Grafton St Apt 501
Worcester, MA 01604-4947
Phone (415) 948-1499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH240218 | Other | MA | MASSACHUSETTS BOARD OF PHARMACY |
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 |
|---|---|---|---|
| PH240218 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Webster, MA
- NPI 1518972728
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1003580432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GRAFTON ST APT 501",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044947",
"telephone_number": "415-948-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015701712",
"telephone_number": "508-943-4375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JUSTEENA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS BOARD OF PHARMACY",
"identifier": "PH240218",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.