Active NPI
Jesika Patel, R.PH.
- Pharmacist
- Claymont, DE
National Provider Identifier
1366620544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0003681
- Practice address
- 2105 Philadelphia Pike
Claymont, DE 19703-2426 - Phone
- (302) 798-4618
- Fax
- (302) 798-4632
- NPI assigned
- Feb 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0003681 | DE | Primary |
| Pharmacist | 183500000X | RP442310 | PA | |
| Pharmacist | 183500000X | 28RI02743000 | NJ | |
| Pharmacist | 183500000X | 0202205081 | VA |
Addresses
Primary practice location
2105 Philadelphia Pike
Claymont, DE 19703-2426
Mailing address
326 Clubhouse LN
Wilmington, DE 19810-2264
Phone (302) 475-2606
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1-0003681 | Other | DE | PHARMACIST |
| 0202205081 | Other | VA | PHARMACIST |
| 28RI02743000 | Other | NJ | PHARMACIST |
| RP442310 | Other | PA | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0003681 | DE | MD | Pharmacist |
| 28RI02743000 | NJ | MD | Pharmacist |
| RP442310 | PA | MD | Pharmacist |
| 0202205081 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202601600000",
"number": "1366620544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 CLUBHOUSE LN",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198102264",
"telephone_number": "302-475-2606",
"fax_number": "302-475-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 PHILADELPHIA PIKE",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032426",
"telephone_number": "302-798-4618",
"fax_number": "302-798-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JESIKA",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-10",
"last_updated": "2008-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003681",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442310",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02743000",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202205081",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "A1-0003681",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "0202205081",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "28RI02743000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "RP442310",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Claymont, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.