Individual provider Active NPI

Dhiren Bharatkumar Patel, M.S, R.PH

  • Pharmacist
  • Corona, NY
National Provider Identifier
1083946115
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047288 Issued in NY
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

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
047288OtherNYNEW YORK STATE BOARD OF PHARMACY
28RI02788500OtherNJNEW 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

LicenseStateTypeSpecialty
047288NYMDOral and Maxillofacial Surgery (Dentist)
28RI02788500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Har Har Pharmacy Corp CurrentSince Dec 14, 2025 Accepting new patients
Hamilton Pharmacy Inc. Current Accepting new patients
Big Apple Pharmacy Corp PastSince Dec 31, 2023 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.

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.

Verify at the official NPI Registry.