Active NPI
Girishkumar P Patel, R.PH
- Pharmacist
- Elizabeth, NJ
National Provider Identifier
1194030197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02960900
- Practice address
- 601 Elizabeth Ave
Bert'S Pharmacy
Elizabeth, NJ 07206 - Phone
- (908) 351-0644
- Fax
- (908) 351-0759
- NPI assigned
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 28RI02960900 | NJ | Primary |
Addresses
Primary practice location
601 Elizabeth Ave
Bert'S Pharmacy
Elizabeth, NJ 07206
Mailing address
601 Elizabeth Ave
Bert'S Pharmacy
Elizabeth, NJ 07206-1146
Phone (908) 351-0644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02960900 | Other | NJ | STATE LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02960900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krishaans Pharmacy Inc | Past | Accepting new patients | |
| Berts Pharmacy Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Elizabeth, NJ
- NPI 1366228017
-
- Pharmacy
- Elizabeth, NJ
- NPI 1538171749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1194030197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELIZABETH AVE",
"address_2": "BERT'S PHARMACY",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072061146",
"telephone_number": "908-351-0644",
"fax_number": "908-351-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELIZABETH AVE",
"address_2": "BERT'S PHARMACY",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "07206",
"telephone_number": "908-351-0644",
"fax_number": "908-351-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "GIRISHKUMAR",
"middle_name": "P",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02960900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "28RI02960900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.