Active NPI
Nikunjbhai Patel
- Pharmacist
- Canton, GA
National Provider Identifier
1174126023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028195
- Practice address
- 3785 Sixes Rd
Canton, GA 30114-7809 - Phone
- (770) 720-3466
- Fax
- (770) 720-3397
- NPI assigned
- Nov 20, 2020
- 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 | 028195 | GA | Primary |
Addresses
Primary practice location
3785 Sixes Rd
Canton, GA 30114-7809
Mailing address
3785 Sixes Rd
Canton, GA 30114-7809
Phone (770) 720-3466
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Store2470@cvshealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | Rx02470@CVSHealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028195 | GA | MD | Pharmacist |
Interoperability endpoints
- rx02470@cvshealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1174126023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 SIXES RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301147809",
"telephone_number": "770-720-3466",
"fax_number": "770-720-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3785 SIXES RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301147809",
"telephone_number": "770-720-3466",
"fax_number": "770-720-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIKUNJBHAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "028195",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Store2470@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3785 Sixes Rd",
"city": "Canton",
"state": "GA",
"country_code": "US",
"postal_code": "301147809",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rx02470@CVSHealth.com",
"affiliation": "N",
"address_1": "3785 Sixes Rd",
"city": "Canton",
"state": "GA",
"country_code": "US",
"postal_code": "301147809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.