Vipul A Patel, PHARM.D.,BCP,CGP

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

28RI03057200 Issued in NJ

Practice address

11 Priscilla LN
Port Jefferson Station, NY 11776-4219

Phone

(631) 609-0587

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1154414175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PRISCILLA LN",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764219",
            "telephone_number": "631-609-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PRISCILLA LN",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764219",
            "telephone_number": "631-609-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,BCP,CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI03057200",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NJ",
            "license": "28RI03057200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Pandolfi, N.P.
• Grace Elizabeth Papile
• Sophia Parise
• Joey Labso Pascasio, M.D.
• Nishi Patel, DDS
• Pathmark Stores Inc
• Patrick J. Sabo, D.M.D. & Mark a. Rienecker, D.D.S., P.C.
• Jennifer Michelle Patrick
• Dreux Patton, M.D.
• Kathleen Paulson

• Pharmacotherapy Pharmacist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Pharmacotherapy Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.