Active NPI
Bhrugisha R Patel, PHARMD., MBA
- Pharmacist
- Elkton, MD
National Provider Identifier
1053934406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24285
- Practice address
- 106 Bow St
Elkton, MD 21921-5596 - Phone
- (410) 398-4000
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | A1-0003880 | DE | |
| Pharmacist | 183500000X | 24285 | MD | Primary |
Addresses
Primary practice location
106 Bow St
Elkton, MD 21921-5596
Mailing address
106 Bow St
Elkton, MD 21921-5596
Phone (410) 398-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24285 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Newark | 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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0003880 | DE | MD | Pharmacist |
| 24285 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1053934406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215596",
"telephone_number": "410-398-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215596",
"telephone_number": "410-398-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHRUGISHA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD., MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003880",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24285",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Newark",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Rocky Rd",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197028635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.