Individual provider Active NPI

Himanshu Ashokkumar Patel, PHARM.D

  • Pharmacist
  • Hixson, TN
National Provider Identifier
1205284643
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38976 Issued in TN
Practice address
5506 Highway 153 Ste 102
Hixson, TN 37343-5084
Phone
(423) 680-7373
Fax
(423) 509-8394
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38976 TN Primary

Addresses

Primary practice location

5506 Highway 153 Ste 102
Hixson, TN 37343-5084

Mailing address

3984 Ringgold Rd
East Ridge, TN 37412-1659
Phone (423) 468-7161

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
38976TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Counter 01 Inc CurrentSince Aug 25, 2024 Accepting new patients
Medicine Counter 01 Inc CurrentSince Aug 25, 2024 Accepting new patients
Khodiyar Health LLC Past Accepting new patients

Locations

5506 Highway 153
Ste 102
Hixson, TN 37343
Phone (423) 680-7373

Interoperability endpoints

  • Direct secure messaging: medicinecounter@medicinecounter.libertysoftwaredirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1205284643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3984 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374121659",
            "telephone_number": "423-468-7161",
            "fax_number": "423-468-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 HIGHWAY 153 STE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435084",
            "telephone_number": "423-680-7373",
            "fax_number": "423-509-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIMANSHU",
        "middle_name": "ASHOKKUMAR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "38976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.