Active NPI
Kailashben P Patel
- Pharmacist
- Waterford, MI
National Provider Identifier
1194152884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302036328
- Practice address
- 5100 Dixie Hwy
Waterford, MI 48329-1713 - Phone
- (248) 674-3183
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- 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 | 5302036328 | MI | Primary |
Addresses
Primary practice location
5100 Dixie Hwy
Waterford, MI 48329-1713
Mailing address
6178 Stonewood Dr
Clarkston, MI 48346-5008
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 |
|---|---|---|---|
| 5302036328 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1194152884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6178 STONEWOOD DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483465008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 DIXIE HWY",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483291713",
"telephone_number": "248-674-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KAILASHBEN",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.