Active NPI
Kevin K Patel, PHARM.D
- Pharmacist
- Perry, FL
National Provider Identifier
1255931176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52274
- Practice address
- 1900 S Jefferson St
Perry, FL 32348-5615 - Phone
- (850) 223-4189
- Fax
- (850) 223-4192
- NPI assigned
- Oct 29, 2020
- Last updated
- Oct 29, 2020
- 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 | RPH028329 | GA | |
| Pharmacist | 183500000X | PS52274 | FL | Primary |
Addresses
Primary practice location
1900 S Jefferson St
Perry, FL 32348-5615
Mailing address
1900 S Jefferson St
Perry, FL 32348-5615
Phone (850) 223-4189
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 |
|---|---|---|---|
| PS52274 | FL | MD | Pharmacist |
| RPH028329 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1255931176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S JEFFERSON ST",
"city": "PERRY",
"state": "FL",
"postal_code": "323485615",
"telephone_number": "850-223-4189",
"fax_number": "850-223-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S JEFFERSON ST",
"city": "PERRY",
"state": "FL",
"postal_code": "323485615",
"telephone_number": "850-223-4189",
"fax_number": "850-223-4192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KEVIN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028329",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, FL
- William O'Briant
- O'Quinn Pharmacy, Inc.
- Marsha Kelly Oxamendi, LCSW
- Rachel D Padgett, R.N.
- Tiffanee Ann Padgett, ARNP
- Veera Venkata S Babu Paturi, MBBS
- Perry Chiropractic Clinic, Inc.
- Perry Emergency Physicians LLC
- Perry Facility Operations LLC (Perry Oaks Health Care)
- Perry Health Care Associates LLC (Marshall Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.