NPIMap

Organization Active NPI

Harshad & Minaxi Patel Inc

Doing business as Kern Avenue Pharmacy

  • Community/Retail Pharmacy
  • McFarland, CA
National Provider Identifier
1265544258
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46646 Issued in CA
Legal business name
HARSHAD & MINAXI PATEL INC
Doing business as
Kern Avenue Pharmacy
Practice address
205 W Kern Ave
MC Farland, CA 93250-1360
Phone
(661) 792-2198
Fax
(661) 792-5521
NPI assigned
Aug 31, 2006
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Harshad PatelNPI 1245681964
Title
President
Phone
(661) 792-2198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY46646 CA Primary

Addresses

Primary practice location

205 W Kern Ave
MC Farland, CA 93250-1360

Mailing address

205 W Kern Ave
MC Farland, CA 93250-1360
Phone (661) 792-5521

Other identifiers 2

IdentifierTypeStateIssuer
0505543OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA466460MedicaidCA

Other names 1

  • KERN AVENUE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cole's Medical Arts Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 W Kern Ave
Mc Farland, CA 93250
Phone (661) 792-2198

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1265544258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W KERN AVE",
            "city": "MC FARLAND",
            "state": "CA",
            "postal_code": "932501360",
            "telephone_number": "661-792-5521",
            "fax_number": "661-792-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W KERN AVE",
            "city": "MC FARLAND",
            "state": "CA",
            "postal_code": "932501360",
            "telephone_number": "661-792-2198",
            "fax_number": "661-792-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSHAD & MINAXI PATEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-792-2198"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0505543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERN AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McFarland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.