Brijesh Patel

Primary specialty

PharmacistTaxonomy code 183500000X

License

42871 Issued in TN

Practice address

460 Medical Park Dr Ste 101
Lenoir City, TN 37772-5782

Phone

(832) 830-4709

NPI assigned

May 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pramukh Ashish 1 LLC

  • Community/Retail Pharmacy
  • Lenoir City, TN
  • NPI 1477012748
  NPD

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1063079952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WHEELHOUSE DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR STE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "832-830-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BRIJESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioannis Parastatidis, M.D., PH.D.
• Benjamin M Pardue, DO
• Hilary Ann Parker, PSY.D.
• Parkwest Medical Center
• Tara Pate, FNP
• Ketan Patel
• Amy Nicole Patterson, FNP
• Katoura Rose Patterson, D.O
• Tiffany Nicole Patterson, BSW
• Deborah Jeyakumari Payne, SLP

• All providers in Lenoir City, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; 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.