Ankur Patel, PHARMD
Individual provider Active NPI Pharmacist · Mantua, NJ
NPI 1285919787 · NPPES record last updated Oct 15, 2011
Key facts
- NPI
- 1285919787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03435900 (NJ)
- Practice address
- 180 Bridgeton Pike
Mantua, NJ 08051-1569 - Phone
- (856) 468-9530
- NPI assigned
- Oct 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03435900 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03435900 | NJ | Yes |
Addresses
Primary practice location
180 Bridgeton Pike
Mantua, NJ 08051-1569
Mailing address
180 Bridgeton Pike
Mantua, NJ 08051
Phone (732) 447-7511
Other providers in Mantua, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.