Individual provider Active NPI

Bhavana N Patel, RPH

  • Pharmacist
  • Collegeville, PA
National Provider Identifier
1013597962
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039621L Issued in PA
Practice address
305 Second Ave Ste 204
Collegeville, PA 19426-2682
Phone
(484) 978-9009
Fax
(484) 978-9008
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039621L PA Primary

Addresses

Primary practice location

305 Second Ave Ste 204
Collegeville, PA 19426-2682

Mailing address

4407 Meadowridge Cir
Collegeville, PA 19426-4195
Phone (215) 290-3111

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
RP039621LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collegeville Pharmacy Inc CurrentSince Apr 20, 2021 Accepting new patients

Locations

305 Second Ave
Ste 204
Collegeville, PA 19426
Phone (484) 978-9009

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1013597962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MEADOWRIDGE CIR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264195",
            "telephone_number": "215-290-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SECOND AVE STE 204",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262682",
            "telephone_number": "484-978-9009",
            "fax_number": "484-978-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVANA",
        "middle_name": "N",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039621L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.