Active NPI
Amar B Patel, RPH
- Pharmacist
- Newburgh, NY
National Provider Identifier
1073768503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053122
- Practice address
- 1208 Route 300
Suite 103
Newburgh, NY 12550-5003 - Phone
- (845) 275-0816
- Fax
- (845) 275-0846
- NPI assigned
- Nov 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053122 | NY | Primary |
| Pharmacist | 183500000X | 24605 | MA | |
| Pharmacist | 183500000X | 11181 | CT | |
| Pharmacist | 183500000X | 28RI03263200 | NJ |
Addresses
Primary practice location
1208 Route 300
Suite 103
Newburgh, NY 12550-5003
Mailing address
1208 Route 300
Suite 103
Newburgh, NY 12550-5003
Phone (845) 275-0816
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11181 | CT | MD | Clinical Social Worker |
| 24605 | MA | MD | Pharmacist |
| 28RI03263200 | NJ | MD | Pharmacist |
| 053122 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raina RX, LLC | Past | Accepting new patients |
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": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1073768503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 ROUTE 300",
"address_2": "SUITE 103",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505003",
"telephone_number": "845-275-0816",
"fax_number": "845-275-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 ROUTE 300",
"address_2": "SUITE 103",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505003",
"telephone_number": "845-275-0816",
"fax_number": "845-275-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMAR",
"middle_name": "B",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-25",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053122",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "24605",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "11181",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03263200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.