Active NPI
Jessica Patel
- Pharmacist
- Bunkie, LA
National Provider Identifier
1275064412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000039257
- Practice address
- 565 Evergreen St
Bunkie, LA 71322-3916 - Phone
- (864) 504-5758
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 062000 | NY | |
| Pharmacist | 183500000X | 0000039257 | TN | Primary |
Addresses
Primary practice location
565 Evergreen St
Bunkie, LA 71322-3916
Mailing address
565 Evergreen St
Bunkie, LA 71322-3916
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 |
|---|---|---|---|
| 062000 | NY | MD | Periodontist |
| 0000039257 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1275064412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 EVERGREEN ST",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713223916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 EVERGREEN ST",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713223916",
"telephone_number": "864-504-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062000",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000039257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bunkie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.