Active NPI
Keyurkumar Patel, RPH
- Pharmacist
- Kennesaw, GA
National Provider Identifier
1114241551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025294
- Practice address
- 4075 Cherokee St NW
Kennesaw, GA 30144-1278 - Phone
- (770) 528-5651
- Fax
- (770) 528-5949
- NPI assigned
- Mar 14, 2010
- Sex
- Male
- 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 | 025294 | GA | Primary |
Addresses
Primary practice location
4075 Cherokee St NW
Kennesaw, GA 30144-1278
Mailing address
511 Woodlore LN NW
Acworth, GA 30101-3588
Phone (404) 606-2440
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025294 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1114241551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 WOODLORE LN NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301013588",
"telephone_number": "404-606-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 CHEROKEE ST NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441278",
"telephone_number": "770-528-5651",
"fax_number": "770-528-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KEYURKUMAR",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-14",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "025294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.