Individual provider Active NPI

Anita Patel

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1104573161
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16073 Issued in LA
Practice address
113 W Charles St
Hammond, LA 70401-3232
Phone
(985) 542-8466
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16073 LA Primary

Addresses

Primary practice location

113 W Charles St
Hammond, LA 70401-3232

Mailing address

157 Sanctuary Dr
Mandeville, LA 70471-2927
Phone (985) 320-2647

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
16073LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Manninos Family Practice Pharmacy Inc CurrentSince Jun 26, 2022 Accepting new patients
Manninos Family Practice Pharmacy Inc PastSince Mar 13, 2022 Accepting new patients

Locations

113 W Charles St
Hammond, LA 70401
Phone (985) 542-8466

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1104573161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SANCTUARY DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712927",
            "telephone_number": "985-320-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHARLES ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013232",
            "telephone_number": "985-542-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.