Active NPI
Brijesh Patel
- Pharmacist
- Lenoir City, TN
National Provider Identifier
1063079952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42871
- Practice address
- 460 Medical Park Dr Ste 101
Lenoir City, TN 37772-5782 - Phone
- (832) 830-4709
- NPI assigned
- May 26, 2019
- Last updated
- May 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42871 | TN | Primary |
Addresses
Primary practice location
460 Medical Park Dr Ste 101
Lenoir City, TN 37772-5782
Mailing address
607 Wheelhouse Dr
Stafford, TX 77477-5827
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 |
|---|---|---|---|
| 42871 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pramukh Ashish 1 LLC | Current | Accepting new patients |
Locations
460 Medical Park Dr
Ste 101
Lenoir City, TN 37772
Phone (865) 328-2482
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}Other providers in Lenoir City, TN
Sources for this page
- 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.