Active NPI
Neha Patel
- Pharmacist
- Marengo, IL
National Provider Identifier
1235752940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51294345
- Practice address
- 20015 E Grant Hwy
Marengo, IL 60152-8207 - Phone
- (815) 568-7866
- NPI assigned
- May 28, 2020
- Last updated
- May 28, 2020
- 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 | 51294345 | IL | Primary |
Addresses
Primary practice location
20015 E Grant Hwy
Marengo, IL 60152-8207
Mailing address
20015 E Grant Hwy
Marengo, IL 60152-8207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51294345 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marengo Community Pharmacy Inc | Current | Accepting new patients |
Locations
20015 E Grant Hwy
Marengo, IL 60152
Phone (815) 568-7866
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.
-
- Community/Retail Pharmacy
- Marengo, IL
- NPI 1114282266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1235752940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20015 E GRANT HWY",
"city": "MARENGO",
"state": "IL",
"postal_code": "601528207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20015 E GRANT HWY",
"city": "MARENGO",
"state": "IL",
"postal_code": "601528207",
"telephone_number": "815-568-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NEHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "51294345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marengo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.