Active NPI
Pragneshkumar R Patel
- Pharmacist
- Reading, PA
National Provider Identifier
1255676367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP443298
- Practice address
- 1220 Centre Ave
Reading, PA 19601-1458 - Phone
- (904) 673-0588
- Fax
- (610) 236-0993
- NPI assigned
- Nov 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP443298 | PA | Primary |
| Pharmacist | 183500000X | PS37383 | FL |
Addresses
Primary practice location
1220 Centre Ave
Reading, PA 19601-1458
Mailing address
1921 Cavalier LN
Chester Springs, PA 19425-3873
Phone (904) 673-0588
Other names 1
- Mr. Pragneshkumar R Patel
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 |
|---|---|---|---|
| PS37383 | FL | MD | Pharmacist |
| RP443298 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Pharmacy LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Titusville, FL
- NPI 1073800579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1255676367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 CAVALIER LN",
"city": "CHESTER SPRINGS",
"state": "PA",
"postal_code": "194253873",
"telephone_number": "904-673-0588",
"fax_number": "610-236-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 CENTRE AVE",
"city": "READING",
"state": "PA",
"postal_code": "196011458",
"telephone_number": "904-673-0588",
"fax_number": "610-236-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRAGNESHKUMAR",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP443298",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRAGNESHKUMAR",
"last_name": "PATEL",
"middle_name": "R",
"prefix": "MR.",
"credential": "PHARMACIST",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.