Jitendrakumar Patel, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038998 Issued in MI

Practice address

24930 Gratiot Ave
Eastpointe, MI 48021-3317

Phone

(313) 335-2126

NPI assigned

Jan 29, 2020

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jitendrakumar Patel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rajbaso LLC

  dba EastPointe Pharmacy

  • Community/Retail Pharmacy
  • Eastpointe, MI
  • NPI 1659107712
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1174154017",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "721 MASSIMO CRESCENT",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N9G3C7"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24930 GRATIOT AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213317",
            "telephone_number": "313-335-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JITENDRAKUMAR",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JITENDRAKUMAR",
            "last_name": "PATEL",
            "credential": "PHARMACIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Christina Paris
• Haeri Park, DMD
• Janghoon Park
• Dale Parson Jr., PTA
• Brandi Pate-Brown
• Poonam Patel, M.D.
• Charles Patterson
• Christian Patterson
• Paul E Marcuz D.D.S.,P.C.
• Pay Less Drugs Inc. (Pay Less Drugs)

• Pharmacist in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.