Active NPI
Jay Kishor Patel, PHARM.D.
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1164875027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40468
- Practice address
- 490 Greenway View Dr
Chattanooga, TN 37411-5689 - Phone
- (423) 892-2554
- NPI assigned
- Jul 15, 2016
- Last updated
- Sep 19, 2019
- 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 | 40468 | TN | Primary |
Addresses
Primary practice location
490 Greenway View Dr
Chattanooga, TN 37411-5689
Mailing address
4328 Cummings Hwy
Chattanooga, TN 37419-2106
Phone (423) 596-5237
Other practice location 1
5301 Ringgold Rd
East Ridge, TN 37412-3125
Phone (423) 892-9559
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 |
|---|---|---|---|
| 40468 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1164875027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 CUMMINGS HWY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374192106",
"telephone_number": "423-596-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 GREENWAY VIEW DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115689",
"telephone_number": "423-892-2554"
}
],
"practiceLocations": [
{
"address_1": "5301 Ringgold Rd",
"address_purpose": "LOCATION",
"city": "East Ridge",
"state": "TN",
"postal_code": "374123125",
"country_code": "US",
"telephone_number": "423-892-9559",
"fax_number": "423-892-0614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"middle_name": "KISHOR",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "40468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.