Active NPI
Chirag Patel, PHARM D, M.B.A.
- Pharmacist
- Charlotte, NC
National Provider Identifier
1194054882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21536
- Practice address
- 8035 Providence Rd Ste 300
Charlotte, NC 28277 - Phone
- (704) 909-4700
- Fax
- (704) 752-4197
- NPI assigned
- Dec 9, 2009
- Last updated
- Jul 29, 2018
- 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 | 21536 | NC | Primary |
Addresses
Primary practice location
8035 Providence Rd Ste 300
Charlotte, NC 28277
Mailing address
8035 Providence Rd Ste 300
Charlotte, NC 28277-8907
Phone (704) 909-4700
Other practice location 1
2425 Thousand Oaks Dr
San Antonio, TX 78232-3206
Phone (210) 402-2927
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21536 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Carolina Pharmacy | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Lax Group LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1083165799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532822400000",
"number": "1194054882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8035 PROVIDENCE RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778907",
"telephone_number": "704-909-4700",
"fax_number": "704-752-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 PROVIDENCE RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-909-4700",
"fax_number": "704-752-4197"
}
],
"practiceLocations": [
{
"address_1": "2425 Thousand Oaks Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782323206",
"country_code": "US",
"telephone_number": "210-402-2927",
"fax_number": "210-402-2991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "CHIRAG",
"name_prefix": "Dr.",
"credential": "PHARM D, M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2018-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.