Active NPI
Ami Patel
- Pharmacist
- Fairfield, NJ
National Provider Identifier
1033724026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14851
- Practice address
- 695 US Highway 46 Ste 100
Fairfield, NJ 07004-1561 - Phone
- (877) 920-2090
- NPI assigned
- Sep 15, 2020
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57874 | NY | |
| Pharmacist | 183500000X | 60350 | TX | |
| Pharmacist | 183500000X | 25201 | MD | |
| Pharmacist | 183500000X | 0202216416 | VA | |
| Pharmacist | 183500000X | RP0010400 | WV | |
| Pharmacist | 183500000X | 5302045258 | MI | |
| Pharmacist | 183500000X | 17988 | OK | |
| Pharmacist | 183500000X | 20609 | AL | |
| Pharmacist | 183500000X | 22795 | LA | |
| Pharmacist | 183500000X | T-15762 | MS | |
| Pharmacist | 183500000X | 42814 | TN | |
| Pharmacist | 183500000X | 020352 | KY | |
| Pharmacist | 183500000X | 16359 | NE | |
| Pharmacist | 183500000X | 28RI03544600 | NJ | |
| Pharmacist | 183500000X | 1-14851 | KS | Primary |
Addresses
Primary practice location
695 US Highway 46 Ste 100
Fairfield, NJ 07004-1561
Mailing address
PO Box 2397
Secaucus, NJ 07096-2397
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 |
|---|---|---|---|
| 60350 | TX | MD | Clinical Social Worker |
| 20609 | AL | MD | Pharmacist |
| 1-14851 | KS | MD | Pharmacist |
| 020352 | KY | MD | Pharmacist |
| 22795 | LA | MD | Pharmacist |
| 5302045258 | MI | MD | Pharmacist |
| T-15762 | MS | MD | Pharmacist |
| 16359 | NE | MD | Pharmacist |
| 28RI03544600 | NJ | MD | Pharmacist |
| 57874 | NY | MD | Pharmacist |
| 17988 | OK | MD | Pharmacist |
| 42814 | TN | MD | Pharmacist |
| 0202216416 | VA | MD | Pharmacist |
| RP0010400 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homecare RX Inc. | Current | Accepting new patients |
Locations
695 US Highway 46
Ste 100
Fairfield, NJ 07004
Phone (201) 704-7473
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.
-
- Specialty Pharmacy
- Pine Brook, NJ
- NPI 1912674540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1033724026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2397",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070962397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 US HIGHWAY 46 STE 100",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041561",
"telephone_number": "877-920-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "57874",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60350",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25201",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216416",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010400",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045258",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17988",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20609",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "22795",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-15762",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42814",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020352",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16359",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03544600",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.