Chandravadan Gordhanbhai Patel, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

39608 Issued in TX

Practice address

1821 S Padre Island Dr
Corpus Christi, TX 78416-1398

Phone

(361) 854-5804

Fax

(361) 855-5937

NPI assigned

Nov 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chandravadan Gordhanbhai Patel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1366043622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 SYLLING DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146128",
            "telephone_number": "361-232-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784161398",
            "telephone_number": "361-854-5804",
            "fax_number": "361-855-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDRAVADAN",
        "middle_name": "GORDHANBHAI",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRAVADAN",
            "last_name": "PATEL",
            "middle_name": "GORDHANBHAI",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alberto Pasillas, MD
• Stacy Kay Paskvan, LPC, LMFTA
• Akash Raginkumar Patel, DO
• Ashvin Patel, M.D.
• Ayan Patel, D.O.
• Dhartiben Patel
• Divya Patel
• Drashti Patel
• Girish A Patel, M.D.
• Haroon I Patel, M.D.

• Pharmacist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.