Individual provider Active NPI

Disha Patel, PHARMD

  • Pharmacist
  • Centerville, OH
National Provider Identifier
1053915561
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03135928 Issued in OH
Practice address
400 Miamisburg Centerville Rd
Centerville, OH 45459-4752
Phone
(937) 433-7618
Fax
(937) 433-8502
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03135928 OH Primary

Addresses

Primary practice location

400 Miamisburg Centerville Rd
Centerville, OH 45459-4752

Mailing address

400 Miamisburg Centerville Rd
Centerville, OH 45459-4752
Phone (937) 433-7618

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL endpoint Health Information Exchange (HIE)

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03135928OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1053915561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594752",
            "telephone_number": "937-433-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594752",
            "telephone_number": "937-433-7618",
            "fax_number": "937-433-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DISHA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "endpoint",
            "affiliation": "N",
            "endpointDescription": "endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Miamisburg Centerville Rd",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.