Individual provider Active NPI

Ami Patel

  • Pharmacist
  • Fairfield, NJ
National Provider Identifier
1033724026
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-14851 Issued in KS
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

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
60350TXMDClinical Social Worker
20609ALMDPharmacist
1-14851KSMDPharmacist
020352KYMDPharmacist
22795LAMDPharmacist
5302045258MIMDPharmacist
T-15762MSMDPharmacist
16359NEMDPharmacist
28RI03544600NJMDPharmacist
57874NYMDPharmacist
17988OKMDPharmacist
42814TNMDPharmacist
0202216416VAMDPharmacist
RP0010400WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare RX Inc. CurrentSince Aug 29, 2021 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.

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.

Verify at the official NPI Registry.