Active NPI
Krina Manubhai Patel, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Atlanta, GA
National Provider Identifier
1215597026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH029010
- Practice address
- 1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816 - Phone
- (404) 733-6800
- Fax
- (404) 733-5848
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH029010 | GA | Primary |
Addresses
Primary practice location
1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816
Mailing address
1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816
Phone (404) 733-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH029010 | Other | GA | GA BOP LICENSE NO |
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 |
|---|---|---|---|
| RPH029010 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Atlanta, GA
- NPI 1023381548
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1215597026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1874 PIEDMONT AVE NE STE 100A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244816",
"telephone_number": "404-733-6800",
"fax_number": "404-733-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 PIEDMONT AVE NE STE 100A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244816",
"telephone_number": "404-733-6800",
"fax_number": "404-733-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRINA",
"middle_name": "MANUBHAI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH029010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOP LICENSE NO",
"identifier": "RPH029010",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.