Individual provider Active NPI

Kinjal Patel

  • Pharmacist
  • Wilmington, DE
National Provider Identifier
1104429794
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A10005479 Issued in DE
Practice address
1050 Brandywine Pkwy
Wilmington, DE 19803-1492
Phone
(302) 478-3200
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30647 NC
Pharmacist 183500000X RP453738 PA
Pharmacist 183500000X 28RI03959300 NJ
Pharmacist 183500000X A10005479 DE Primary

Addresses

Primary practice location

1050 Brandywine Pkwy
Wilmington, DE 19803-1492

Mailing address

3575 Silverside Rd Apt 201
Wilmington, DE 19810-4942

Other practice location 1

470 Century Blvd
Wilmington, DE 19808-6271
Phone (302) 313-1088

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

LicenseStateTypeSpecialty
A10005479DEMDPharmacist
30647NCMDPharmacist
28RI03959300NJMDPharmacist
RP453738PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Pharmacy LLC CurrentSince May 25, 2021 Accepting new patients
Delaware CVS Pharmacy LLC PastSince Nov 1, 2020 Accepting new patients
Delaware CVS Pharmacy, L.L.C. PastSince Nov 1, 2020 Accepting new patients

Locations

470 Century Blvd
Wilmington, DE 19808
Phone (302) 313-1088

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1104429794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 SILVERSIDE RD APT 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BRANDYWINE PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031492",
            "telephone_number": "302-478-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Century Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198086271",
            "country_code": "US",
            "telephone_number": "302-313-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30647",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453738",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03959300",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A10005479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.