Active NPI
Suraj Patel, PHARMD.
- Pharmacist
- Branford, CT
National Provider Identifier
1114389681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0012958
- Practice address
- 2-6 Short Beach Rd
Branford, CT 06405 - Phone
- (203) 488-9485
- NPI assigned
- Mar 24, 2016
- 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 | 0012958 | CT | Primary |
Addresses
Primary practice location
2-6 Short Beach Rd
Branford, CT 06405
Mailing address
24-36 Pershing Drive
Ansonia, CT 06401
Phone (203) 735-7837
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0012958 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | 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 and National Provider Directory roles.
-
- Pharmacy
- Guilford, CT
- NPI 1417746108
-
- Pharmacy
- Branford, CT
- NPI 1477658219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1114389681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24-36 PERSHING DRIVE",
"city": "ANSONIA",
"state": "CT",
"postal_code": "06401",
"telephone_number": "203-735-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-6 SHORT BEACH RD",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-488-9485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SURAJ",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2020-12-03",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0012958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.