Active NPI
Avani Patel
- Pharmacist
- Owings Mills, MD
National Provider Identifier
1093317794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16261
- Practice address
- 10210 Mill Run Cir
Owings Mills, MD 21117-4214 - Phone
- (410) 413-2965
- NPI assigned
- Nov 9, 2020
- Last updated
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16261 | MD | Primary |
Addresses
Primary practice location
10210 Mill Run Cir
Owings Mills, MD 21117-4214
Mailing address
10210 Mill Run Cir
Owings Mills, MD 21117-4214
Phone (410) 413-2965
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16261 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Current | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Locations
10210 Mill Run Cir
Owings Mills, MD 21117
Phone (410) 413-2965
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1093317794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10210 MILL RUN CIR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174214",
"telephone_number": "410-413-2965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 MILL RUN CIR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174214",
"telephone_number": "410-413-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AVANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.