Individual provider Active NPI

Ankitkumar Patel, PHARMD

  • Pharmacist
  • Lake Jackson, TX
National Provider Identifier
1215406673
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53511 Issued in TX
Practice address
120 Circle Way St Ste 7F
Lake Jackson, TX 77566-5222
Phone
(979) 341-9811
Fax
(979) 341-9822
NPI assigned
Nov 15, 2018
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53511 TX Primary

Addresses

Primary practice location

120 Circle Way St Ste 7F
Lake Jackson, TX 77566-5222

Mailing address

120 Circle Way St Ste 7F
Lake Jackson, TX 77566-5222
Phone (979) 341-9811

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
53511TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerds RX 106 LLC Current Accepting new patients

Locations

120 Circle Way St
Ste 7F
Lake Jackson, TX 77566
Phone (979) 341-9811

Organizations & group practices 1

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1215406673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CIRCLE WAY ST STE 7F",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665222",
            "telephone_number": "979-341-9811",
            "fax_number": "979-341-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CIRCLE WAY ST STE 7F",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665222",
            "telephone_number": "979-341-9811",
            "fax_number": "979-341-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKITKUMAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.