Active NPI
Rahul M Patel
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Atlanta, GA
National Provider Identifier
1366159287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH033920
- Practice address
- 2090 Dunwoody Club Dr
Atlanta, GA 30350-5434 - Phone
- (770) 391-9792
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH033920 | GA | Primary |
Addresses
Primary practice location
2090 Dunwoody Club Dr
Atlanta, GA 30350-5434
Mailing address
5940 Bluff Heights Dr
Cumming, GA 30040-6714
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kroger | Health Information Exchange (HIE) | The Kroger Co |
| CONNECT URL | kroger | The Kroger Co |
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 |
|---|---|---|---|
| RPH033920 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1366159287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 BLUFF HEIGHTS DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300406714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 DUNWOODY CLUB DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303505434",
"telephone_number": "770-391-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAHUL",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH033920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kroger",
"affiliation": "Y",
"affiliationName": "The Kroger Co",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "659 W Coshocton St",
"city": "Johnstown",
"state": "OH",
"country_code": "US",
"postal_code": "430319580",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kroger",
"affiliation": "Y",
"affiliationName": "The Kroger Co",
"address_1": "659 W Coshocton St",
"city": "Johnstown",
"state": "OH",
"country_code": "US",
"postal_code": "430319580",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.