Active NPI
Nital Patel, PHARM D
- Pharmacist
- Petaluma, CA
National Provider Identifier
1356641047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62780
- Practice address
- 373 S McDowell Blvd
Petaluma, CA 94954-3507 - Phone
- (707) 762-1479
- NPI assigned
- Oct 27, 2010
- Sex
- Female
- 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 | 62780 | CA | Primary |
| Pharmacist | 183500000X | PS37927 | FL |
Addresses
Primary practice location
373 S McDowell Blvd
Petaluma, CA 94954-3507
Mailing address
8670 Camino Colegio #120
Rohnert Park, CA 94928
Phone (408) 306-3473
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 |
|---|---|---|---|
| PS37927 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1356641047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8670 CAMINO COLEGIO #120",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "408-306-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543507",
"telephone_number": "707-762-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NITAL",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62780",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.