Individual provider Active NPI

Milankumar Arvindbhai Patel

  • Pharmacist
  • Little Ferry, NJ
National Provider Identifier
1356752125
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03629500 Issued in NJ
Practice address
320 Liberty St
Apt 71
Little Ferry, NJ 07643-1388
Phone
(201) 920-6214
NPI assigned
May 15, 2014
Reactivated
May 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03629500 NJ Primary

Addresses

Primary practice location

320 Liberty St
Apt 71
Little Ferry, NJ 07643-1388

Mailing address

320 Liberty St
Apt 71
Little Ferry, NJ 07643-1388

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

LicenseStateTypeSpecialty
28RI03629500NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1356752125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LIBERTY ST",
            "address_2": "APT 71",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LIBERTY ST",
            "address_2": "APT 71",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431388",
            "telephone_number": "201-920-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MILANKUMAR",
        "middle_name": "ARVINDBHAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "deactivation_date": "2020-05-01",
        "reactivation_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03629500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Ferry, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.