Sunny Dineshkumar Patel, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

18698-40 Issued in WI

Practice address

1021 Summit Ave
Oconomowoc, WI 53066-4457

Phone

(262) 567-9173

Fax

(262) 567-3034

NPI assigned

Feb 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ipack Pharmacy LLC

  • Community/Retail Pharmacy
  • Brookfield, WI
  • NPI 1902417207
  NPD Authorized official
• Walgreen Co

  • Pharmacy
  • Oconomowoc, WI
  • NPI 1285649178
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1124652789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664457",
            "telephone_number": "262-567-9173",
            "fax_number": "262-567-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664457",
            "telephone_number": "262-567-9173",
            "fax_number": "262-567-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNNY",
        "middle_name": "DINESHKUMAR",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18698-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly D Parish
• Parkins Plastic Surgery
• Jennifer Parra Nelsen, LPC
• Ryan Christian Parys, LPC
• Lauren Paszkiewicz, H.I.S
• Callie Pauc
• Erik George Paulson, RPH
• Justin Eric Paulson, M.D.
• Jolene Payne, MS, OTR/L
• Holly Pelnar

• Pharmacist in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.