Active NPI
Mirage Emil Patel, PHARMACIST
- Pharmacist
- Anchorage, AK
National Provider Identifier
1043564172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 234302
- Practice address
- 1201 N Muldoon Road
Anchorage, AK 99504 - Phone
- (907) 257-4811
- NPI assigned
- Oct 26, 2012
- 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 | 234302 | MA | Primary |
| Pharmacist | 183500000X | 3859 | NH |
Addresses
Primary practice location
1201 N Muldoon Road
Anchorage, AK 99504
Mailing address
1201 N Muldoon Road
Anchorage, AK 99504
Phone (907) 257-4811
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 |
|---|---|---|---|
| 234302 | MA | MD | Pharmacist |
| 3859 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1043564172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N MULDOON ROAD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99504",
"telephone_number": "907-257-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N MULDOON ROAD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99504",
"telephone_number": "907-257-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MIRAGE",
"middle_name": "EMIL",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "234302",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.