Individual provider Active NPI

Khyati Patel-Shah

  • Pharmacist
  • Greensboro, NC
National Provider Identifier
1265899801
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25660 Issued in NC
Practice address
901 E Bessemer Ave
Greensboro, NC 27405-7001
Phone
(336) 275-7644
Fax
(336) 275-9390
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25660 NC Primary
Pharmacist 183500000X 0202213856 VA

Addresses

Primary practice location

901 E Bessemer Ave
Greensboro, NC 27405-7001

Mailing address

901 E Bessemer Ave
Greensboro, NC 27405-7001
Phone (336) 275-7644

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

LicenseStateTypeSpecialty
25660NCMDPharmacist
0202213856VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1265899801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057001",
            "telephone_number": "336-275-7644",
            "fax_number": "336-275-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057001",
            "telephone_number": "336-275-7644",
            "fax_number": "336-275-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL-SHAH",
        "first_name": "KHYATI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25660",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.