Active NPI
Priyank Patel
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1265055107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66515
- Practice address
- 5317 Summer Meadows Dr
Fort Worth, TX 76123-1975 - Phone
- (682) 429-5259
- NPI assigned
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66515 | TX | Primary |
Addresses
Primary practice location
5317 Summer Meadows Dr
Fort Worth, TX 76123-1975
Mailing address
1201 Woodhaven Blvd Ste 1221
Fort Worth, TX 76112-2377
Phone (817) 653-7454
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 |
|---|---|---|---|
| 66515 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanvi Corp. | Current | Accepting new patients |
Locations
1201 Woodhaven Blvd
Ste 1221
Fort Worth, TX 76112
Phone (817) 653-7454
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1265055107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WOODHAVEN BLVD STE 1221",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761122377",
"telephone_number": "817-653-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 SUMMER MEADOWS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231975",
"telephone_number": "682-429-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRIYANK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.