Shivam Hiteshkumar Patel

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH034402 Issued in GA

Practice address

1625 Pleasant Hill Rd Ste 200
Duluth, GA 30096-5863

Phone

(770) 806-2787

NPI assigned

Jul 31, 2023

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

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1083395206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 HIGHWAY 198",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "305471804",
            "telephone_number": "706-499-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 PLEASANT HILL RD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965863",
            "telephone_number": "770-806-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVAM",
        "middle_name": "HITESHKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prerana Patel, PHARMD
• Rajesh K Patel, M.D.
• Rameshchandra D Patel, O.D.
• Roshni R. Patel
• Shaan Patel, DO
• Shrinesh V. Patel, M.D.
• Sweta Patel
• Path PT
• Pathfinder Coaching Network, LLC.
• Adam Bryant Patterson

• Pharmacist in Duluth, GA
• Providers in Duluth, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.