Active NPI
Jay Patel, PHARMD
- Pharmacist
- Greenville, NC
National Provider Identifier
1336510213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24685
- Practice address
- 210 SW Greenville Blvd
Greenville, NC 27834-6908 - Phone
- (252) 355-3001
- NPI assigned
- Oct 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 24685 | NC | Primary |
| Pharmacist | 183500000X | 28RI03659300 | NJ |
Addresses
Primary practice location
210 SW Greenville Blvd
Greenville, NC 27834-6908
Mailing address
210 SW Greenville Blvd
Greenville, NC 27834-6908
Phone (252) 355-3001
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03659300 | NJ | MD | Pharmacist |
| 24685 | NC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445040000000",
"number": "1336510213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SW GREENVILLE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278346908",
"telephone_number": "252-355-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SW GREENVILLE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278346908",
"telephone_number": "252-355-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-17",
"last_updated": "2015-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24685",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03659300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.