Active NPI
Dhiren Bharatkumar Patel, M.S, R.PH
- Pharmacist
- Corona, NY
National Provider Identifier
1083946115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047288
- Practice address
- 3771 103Rd St
Corona, NY 11368-3191 - Phone
- (718) 779-4450
- Fax
- (718) 779-4453
- NPI assigned
- Jan 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047288 | NY | Primary |
| Pharmacist | 183500000X | 28RI02788500 | NJ |
Addresses
Primary practice location
3771 103Rd St
Corona, NY 11368-3191
Mailing address
3293 Broadway
New York, NY 10027-7909
Phone (212) 281-0488
Other practice location 1
3293 Broadway
New York, NY 10027-7909
Phone (212) 281-0488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047288 | Other | NY | NEW YORK STATE BOARD OF PHARMACY |
| 28RI02788500 | Other | NJ | NEW JERSEY BOARD OF PHARMACY |
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047288 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 28RI02788500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Har Har Pharmacy Corp | Current | Accepting new patients | |
| Hamilton Pharmacy Inc. | Current | Accepting new patients | |
| Big Apple Pharmacy Corp | Past | Accepting new patients |
Locations
3293 Broadway
New York, NY 10027
Phone (212) 281-0488
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1215957709
-
- Pharmacy
- Corona, NY
- NPI 1972989085
-
- Community/Retail Pharmacy
- Corona, NY
- NPI 1699082057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1083946115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3293 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100277909",
"telephone_number": "212-281-0488",
"fax_number": "212-281-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 103RD ST",
"city": "CORONA",
"state": "NY",
"postal_code": "113683191",
"telephone_number": "718-779-4450",
"fax_number": "718-779-4453"
}
],
"practiceLocations": [
{
"address_1": "3293 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100277909",
"country_code": "US",
"telephone_number": "212-281-0488",
"fax_number": "212-281-0487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "DHIREN",
"middle_name": "BHARATKUMAR",
"name_prefix": "Mr.",
"credential": "M.S, R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047288",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02788500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE BOARD OF PHARMACY",
"identifier": "047288",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY BOARD OF PHARMACY",
"identifier": "28RI02788500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.