Active NPI
Truc Nguyen Patel, PHARM D.
- Pharmacist
- Fowlerville, MI
National Provider Identifier
1205487642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039963
- Practice address
- 970 Gehringer Dr
Fowlerville, MI 48836-8622 - Phone
- (517) 223-1106
- NPI assigned
- Sep 26, 2019
- 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 | 5302039963 | MI | Primary |
Addresses
Primary practice location
970 Gehringer Dr
Fowlerville, MI 48836-8622
Mailing address
3505 W Clark Rd Apt N207
Dewitt, MI 48820-9442
Phone (616) 719-9050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039963 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1205487642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 W CLARK RD APT N207",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209442",
"telephone_number": "616-719-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 GEHRINGER DR",
"city": "FOWLERVILLE",
"state": "MI",
"postal_code": "488368622",
"telephone_number": "517-223-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TRUC",
"middle_name": "NGUYEN",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fowlerville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.