NPIMap

Individual provider Active NPI

Vimal R Patel I, PHARM.D

  • Pharmacist
  • Union City, NJ
National Provider Identifier
1205209806
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03725100 Issued in NJ
Practice address
1115 New York Ave
Union City, NJ 07087
Phone
(201) 864-6307
NPI assigned
Nov 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03725100 NJ Primary

Addresses

Primary practice location

1115 New York Ave
Union City, NJ 07087

Mailing address

1115 New York Ave
Union City, NJ 07087-4207
Phone (201) 864-6307

Other practice location 1

443 Main St
West Orange, NJ 07052-5741
Phone (973) 325-1020

Other practice location 2

443 Main St
West Orange, NJ 07052-5741
Phone (973) 325-1020

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
28RI03725100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Maria Pharmacy LLC Current Accepting new patients
West Orange Pharmacy Inc Past Accepting new patients
Puja Pharmacy LLC Past Accepting new patients

Locations

1115 New York Ave
Union City, NJ 07087
Phone (201) 864-6307

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1205209806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874207",
            "telephone_number": "201-864-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-864-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Main St",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525741",
            "country_code": "US",
            "telephone_number": "973-325-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 Main St",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525741",
            "country_code": "US",
            "telephone_number": "973-325-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIMAL",
        "middle_name": "R",
        "name_suffix": "I",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03725100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.