Priyal Patel

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 0014900 Issued in OR

Practice address

2790 Broadway Ave
North Bend, OR 97459-2216

Phone

(541) 449-9190

NPI assigned

Sep 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beacon Health Care Solutions Incorporated

  • Clinical Medical Laboratory
  • North Bend, OR
  • NPI 1114682382
  NPD
• Beacon Health Care Solutions Incorporated

  • Pharmacy
  • North Bend, OR
  • NPI 1598302119
  NPD
• Gold Beach Pharmacy LLC

  • Community/Retail Pharmacy
  • Gold Beach, OR
  • NPI 1528809886
  NPD

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1255701876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 BROADWAY AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592216",
            "telephone_number": "541-449-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 BROADWAY AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592216",
            "telephone_number": "541-449-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0014900",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH 0014900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent H Palaniuk
• Tyler Palinkas
• Cynthia Ellen Parker
• Katherine W Parker, L.C.S.W.
• Theresa J Parker, QMHA, BA
• Shawna Raeann Paul
• Greg Darren Pedersen
• Cathy Ann Pennington, QMHA
• Penny Peters
• Phuong Pham

• Pharmacist in North Bend, OR
• Providers in North Bend, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.