Active NPI
Suryakant Patel
- Pharmacist
- Blacksburg, SC
National Provider Identifier
1295053551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12322
- Practice address
- 301 W Cherokee St Ste B
Blacksburg, SC 29702-1558 - Phone
- (864) 761-4566
- Fax
- (864) 761-0003
- NPI assigned
- May 12, 2010
- Last updated
- May 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03147400 | NJ | |
| Pharmacist | 183500000X | 12322 | SC | Primary |
Addresses
Primary practice location
301 W Cherokee St Ste B
Blacksburg, SC 29702-1558
Mailing address
301 B W. Cherokee Street
Blacksburg, SC 29306-6257
Phone (864) 761-4566
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 |
|---|---|---|---|
| 28RI03147400 | NJ | MD | Pharmacist |
| 12322 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Govinda LLC | Current | Accepting new patients | |
| Karma Healthcare LLC | Current | Accepting new patients | |
| Karma Healthcare LLC | Current | Accepting new patients |
Locations
301 W Cherokee St
Ste B
Kings Creek, SC 29702
Phone (864) 761-4566
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.
-
dba Boiling Springs Pharmacy
- Community/Retail Pharmacy
- Boiling Springs, SC
- NPI 1104458173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1295053551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 B W. CHEROKEE STREET",
"city": "BLACKSBURG",
"state": "SC",
"postal_code": "293066257",
"telephone_number": "864-761-4566",
"fax_number": "864-761-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W CHEROKEE ST STE B",
"city": "BLACKSBURG",
"state": "SC",
"postal_code": "297021558",
"telephone_number": "864-761-4566",
"fax_number": "864-761-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SURYAKANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03147400",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.