Individual provider Active NPI

Pratixa Patel, PHARMD

  • Pharmacist
  • Hodgkins, IL
National Provider Identifier
1134722556
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.299781 Issued in IL
Practice address
9250 Joliet Rd
Hodgkins, IL 60525-4162
Phone
(708) 387-2361
Fax
(708) 290-2369
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.299781 IL Primary

Addresses

Primary practice location

9250 Joliet Rd
Hodgkins, IL 60525-4162

Mailing address

9250 Joliet Rd
Hodgkins, IL 60525-4162
Phone (708) 387-2361

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hodgkins

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

LicenseStateTypeSpecialty
051.299781ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1134722556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 JOLIET RD",
            "city": "HODGKINS",
            "state": "IL",
            "postal_code": "605254162",
            "telephone_number": "708-387-2361",
            "fax_number": "708-290-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 JOLIET RD",
            "city": "HODGKINS",
            "state": "IL",
            "postal_code": "605254162",
            "telephone_number": "708-387-2361",
            "fax_number": "708-290-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIXA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.299781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hodgkins",
            "affiliation": "N",
            "address_1": "9250 Joliet Rd",
            "city": "Hodgkins",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605254162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hodgkins, IL

Sources for this page

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