Purvish P Patel
Individual provider Active NPI Pharmacist · Eynon, PA
NPI 1366734857 · NPPES record last updated Jun 14, 2013
Key facts
- NPI
- 1366734857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP439767 (PA)
- Practice address
- 791 Scranton Carbondale Hwy
Eynon, PA 18403-1021 - Phone
- (570) 876-3788
- Fax
- (570) 876-8201
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP439767 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jrskv LLC | Current | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP439767 | PA | Yes |
Addresses
Primary practice location
791 Scranton Carbondale Hwy
Eynon, PA 18403-1021
Mailing address
791 Scranton Carbondale Hwy
Eynon, PA 18403-1021
Other providers in Eynon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.