Individual provider Active NPI

Amit Patel, RPH

  • Pharmacist
  • Rumson, NJ
National Provider Identifier
1366710709
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02773800 Issued in NJ
Practice address
22 W River Rd
Rumson, NJ 07760-1419
Phone
(732) 842-1234
Fax
(732) 842-1628
NPI assigned
Dec 13, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02773800 NJ Primary

Addresses

Primary practice location

22 W River Rd
Rumson, NJ 07760-1419

Mailing address

22 W River Rd
Rumson, NJ 07760-1419
Phone (732) 842-1234

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

LicenseStateTypeSpecialty
28RI02773800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Montville Pharmacy NJ Corp Current Accepting new patients
Rumson Pharmacy NJ LLC Current Accepting new patients
Premier Health Pharmacy Corporation Current Accepting new patients

Locations

22 W River Rd
Rumson, NJ 07760
Phone (732) 842-1234

Interoperability endpoints

  • Direct secure messaging: barrysmontvillepharmacy@barrysmontvillepharmacy.libertysoftwaredirect.com

Organizations & group practices 3

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1366710709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W RIVER RD",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601419",
            "telephone_number": "732-842-1234",
            "fax_number": "732-842-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W RIVER RD",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601419",
            "telephone_number": "732-842-1234",
            "fax_number": "732-842-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMIT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02773800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.