Individual provider Active NPI

Patrick Dhansukhbhai Patel, PHARM D

  • Pharmacist
  • Cleveland, TN
National Provider Identifier
1083211767
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44474 Issued in TN
Practice address
635 Paul Huff Pkwy NW
Cleveland, TN 37312-2970
Phone
(423) 476-4393
NPI assigned
Oct 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44474 TN Primary

Addresses

Primary practice location

635 Paul Huff Pkwy NW
Cleveland, TN 37312-2970

Mailing address

635 Paul Huff Pkwy NW
Cleveland, TN 37312-2970
Phone (423) 476-4393

Other names 1

  • Pratikkumar D Patel Professional name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
44474TNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Tennessee LLC PastSince Oct 11, 2020 Accepting new patients
Publix Tennessee, LLC PastSince Oct 11, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1083211767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PAUL HUFF PKWY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122970",
            "telephone_number": "423-476-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PAUL HUFF PKWY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122970",
            "telephone_number": "423-476-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PATRICK",
        "middle_name": "DHANSUKHBHAI",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRATIKKUMAR",
            "last_name": "PATEL",
            "middle_name": "D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.