Kundan A Patel

Primary specialty

PharmacistTaxonomy code 183500000X

License

044309 Issued in NY

Practice address

139 Ronkonkoma Ave
Lake Ronkonkoma, NY 11779-3339

Phone

(631) 981-4477

NPI assigned

Nov 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1144402272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LOCUST LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914832",
            "telephone_number": "516-496-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 RONKONKOMA AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117793339",
            "telephone_number": "631-981-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUNDAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00658562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia O'Malley, NP
• Gina M. Oliva, S.L.P.
• Kyara Liz Ortiz, MSED
• Katherine Parente
• Nicholas Martin Pascullo, LPN
• Anthony Pavone
• Melissa Paz, RN
• Hunter R Peltonen
• Peter Taormino
• Tara Jean Petrungaro, LCSW

• Pharmacist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.