Active NPI
Jtian Patel, PHARM D, MBA
- Pharmacist
- Millersville, MD
National Provider Identifier
1043624273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22217
- Practice address
- 8124 Veterans Hwy
Millersville, MD 21108-1412 - Phone
- (410) 987-5244
- NPI assigned
- Jun 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22217 | MD | Primary |
Addresses
Primary practice location
8124 Veterans Hwy
Millersville, MD 21108-1412
Mailing address
723 Winton Ave
Glen Burnie, MD 21061-2479
Phone (678) 471-6702
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22217 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1043624273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 WINTON AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612479",
"telephone_number": "678-471-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8124 VETERANS HWY",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081412",
"telephone_number": "410-987-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JTIAN",
"credential": "PHARM D, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.