Individual provider Active NPI

Jalpa K Patel, PHARM.D.

  • Pharmacist
  • Anaheim, CA
National Provider Identifier
1174763189
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62281 Issued in CA
Practice address
4175 E la Palma Ave
Suite 240
Anaheim, CA 92807-1842
Phone
(714) 279-6208
Fax
(714) 279-4689
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62281 CA Primary
Pharmacist 183500000X 051292667 IL

Addresses

Primary practice location

4175 E la Palma Ave
Suite 240
Anaheim, CA 92807-1842

Mailing address

4175 E la Palma Ave
Suite 240
Anaheim, CA 92807-1842
Phone (714) 279-6208

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

LicenseStateTypeSpecialty
051292667ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1174763189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 E LA PALMA AVE",
            "address_2": "SUITE 240",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071842",
            "telephone_number": "714-279-6208",
            "fax_number": "714-279-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 E LA PALMA AVE",
            "address_2": "SUITE 240",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071842",
            "telephone_number": "714-279-6208",
            "fax_number": "714-279-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JALPA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62281",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.