Individual provider Active NPI

Krutika Arjanbhai Patel, PHARM.D

  • Pharmacist
  • Albany, NY
National Provider Identifier
1225302458
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056626-1 Issued in NY
Practice address
431 New Karner Rd Ste 4
Albany, NY 12205-3868
Phone
(630) 267-6742
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056626-1 NY Primary
Pharmacist 183500000X 051295409 IL

Addresses

Primary practice location

431 New Karner Rd Ste 4
Albany, NY 12205-3868

Mailing address

431 New Karner Rd Ste 4
Albany, NY 12205-3868
Phone (630) 267-6742

Other practice location 1

322 lake avenue
rochester, NY 14608
Phone (585) 672-1700

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
051295409ILMDPharmacist
056626-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Pharmacy LLC Current Accepting new patients
Capital Regional RX LLC CurrentSince Nov 8, 2020 Accepting new patients

Locations

431 New Karner Rd
Ste 4
Albany, NY 12205
Phone (518) 618-2843

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.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1225302458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NEW KARNER RD STE 4",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053868",
            "telephone_number": "630-267-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NEW KARNER RD STE 4",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053868",
            "telephone_number": "630-267-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 lake avenue",
            "address_purpose": "LOCATION",
            "city": "rochester",
            "state": "NY",
            "postal_code": "14608",
            "country_code": "US",
            "telephone_number": "585-672-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUTIKA",
        "middle_name": "ARJANBHAI",
        "name_prefix": "Miss",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056626-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.