Active NPI
Manish J. Patel
- Pharmacist
- Duluth, GA
National Provider Identifier
1003902420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020630
- Practice address
- 11330 Lakefield Dr
Suite 200 Building #2
Duluth, GA 30097-4425 - Phone
- (404) 680-2107
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | RPH020630 | GA | Primary |
| Pharmacist | 183500000X | RI26021 | NJ |
Addresses
Primary practice location
11330 Lakefield Dr
Suite 200 Building #2
Duluth, GA 30097-4425
Mailing address
11330 Lakefield Dr
Suite 200 Building #2
Duluth, GA 30097-4425
Phone (404) 680-2107
Other names 1
- Mrs. Rimisha M. Patel
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 |
|---|---|---|---|
| RPH020630 | GA | MD | Pharmacist |
| RI26021 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Care Medical Supplies Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Duluth, GA
- NPI 1831360858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003902420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 LAKEFIELD DR",
"address_2": "SUITE 200 BUILDING #2",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974425",
"telephone_number": "404-680-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 LAKEFIELD DR",
"address_2": "SUITE 200 BUILDING #2",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974425",
"telephone_number": "404-680-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MANISH",
"middle_name": "J.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020630",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI26021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RIMISHA",
"last_name": "PATEL",
"middle_name": "M.",
"prefix": "MRS.",
"credential": "RPH.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.