Individual provider Active NPI

Daxesh V Patel, PHARMD

  • Pharmacist
  • Bloomfield Hills, MI
National Provider Identifier
1093091795
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302036760 Issued in MI
Practice address
42557 Woodward Ave
Suite #230
Bloomfield Hills, MI 48304-5206
Phone
(248) 525-1327
NPI assigned
Oct 25, 2011
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302036760 MI Primary

Addresses

Primary practice location

42557 Woodward Ave
Suite #230
Bloomfield Hills, MI 48304-5206

Mailing address

42557 Woodward Ave
Suite #230
Bloomfield Hills, MI 48304-5206
Phone (248) 525-1327

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
5302036760MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1093091795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE",
            "address_2": "SUITE #230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-525-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE",
            "address_2": "SUITE #230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-525-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DAXESH",
        "middle_name": "V",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.