Kokila Patel

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

60078627 Issued in WA

Legal business name

KOKILA PATEL

Doing business as

International Pharmacy LTC

Practice address

11228 Bridgeport Way SW
Suite B
Lakewood, WA 98499-3003

Phone

(253) 302-4559

Fax

(253) 302-4563

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Sunil Patel

Title

President

Phone

(425) 785-6610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• International Pharmacy LTC Doing business as

Locations

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1063652121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11228 BRIDGEPORT WAY SW",
            "address_2": "SUITE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11228 BRIDGEPORT WAY SW",
            "address_2": "SUITE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993003",
            "telephone_number": "253-302-4559",
            "fax_number": "253-302-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKILA PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-785-6610"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "60078627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4933203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perry Joseph Kneisel
• Kiley Knuth
• Amanda Kristine Knutson, SUDPT
• Tiffany Koenigsaecker, PSY.D.
• Dorcas Njeri Koigi
• Irina Komarova, M.D.
• Michelle Lynette Konikow, DENTAL HYGIENIST
• Andrew Koogler, M.D.
• Peyton Koski
• Dawnette Kouttainay

• Long Term Care Pharmacy in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Long Term Care Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.