Active NPI
Chhitu Patel, RPH
- Pharmacist
- Santa Maria, CA
National Provider Identifier
1285788760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40705
- Practice address
- 1504 S Broadway
Santa Maria, CA 93454-7214 - Phone
- (805) 922-1747
- Fax
- (805) 925-6499
- NPI assigned
- Jan 22, 2007
- Last updated
- Apr 27, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 40705 | CA | Primary |
Addresses
Primary practice location
1504 S Broadway
Santa Maria, CA 93454-7214
Mailing address
PO Box 7440
Santa Maria, CA 93456-7440
Phone (805) 922-1747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40705 | Other | CA | PHARMACIST LICENSE |
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiv Krupa Healthcare Inc | Current | Accepting new patients | |
| Fair Oaks Pharmacy, Inc | Current | Accepting new patients | |
| Shiv Krupa Healthcare Inc | Past | Accepting new patients |
Locations
1504 S Broadway
Santa Maria, CA 93454
Phone (805) 922-1747
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Arroyo Grande, CA
- NPI 1932240132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1285788760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7440",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934567440",
"telephone_number": "805-922-1747",
"fax_number": "805-925-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 S BROADWAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547214",
"telephone_number": "805-922-1747",
"fax_number": "805-925-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHHITU",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "40705",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.