Bina Ajit Patel

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5315120489 Issued in MI

Practice address

20730 Pontiac TRL
South Lyon, MI 48178-9486

Phone

(248) 486-9182

NPI assigned

Nov 28, 2019

Last updated

Nov 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Co of Michigan

  dba Kroger Pharmacy #416

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)
• Kroger Co of Michigan

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • South Lyon, MI
  • NPI 1467486217
  NPD (past)

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1215574074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789486",
            "telephone_number": "248-486-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BINA",
        "middle_name": "AJIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-28",
        "last_updated": "2019-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5315120489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatobiloba D Omoyele
• Valerie Ann Paige, LPC
• Pain Specialist of Michigan, PLLC (Kure Pain Management)
• Christopher R Papp, M.D.
• Paradise Elderly Care, LLC
• Parisma Patel, DPT
• Meghna S Pathak, M.D
• Paul Corte, LMSW
• Paul L Simon DDS PLC (South Lyon Dental Care Center)
• Ryan Edward Pawloski, PT, DPT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.