Individual provider Active NPI

Maya Virendra Patel, PHARMD

  • Pharmacotherapy Pharmacist
  • Phoenix, AZ
National Provider Identifier
1386473536
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PS67094 Issued in FL
Practice address
4811 N 83Rd Ave
Phoenix, AZ 85033-1000
Phone
(623) 247-4445
NPI assigned
Jul 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X S027026 AZ
Pharmacotherapy Pharmacist 1835P1200X 48466 TN
Pharmacotherapy Pharmacist 1835P1200X 033.0135390 VT
Pharmacotherapy Pharmacist 1835P1200X RPH035029 GA
Pharmacotherapy Pharmacist 1835P1200X RPH90150 CA
Pharmacotherapy Pharmacist 1835P1200X 071794 NY
Pharmacotherapy Pharmacist 1835P1200X 5261971 ID
Pharmacotherapy Pharmacist 1835P1200X 74631 TX
Pharmacotherapy Pharmacist 1835P1200X PS67094 FL Primary

Addresses

Primary practice location

4811 N 83Rd Ave
Phoenix, AZ 85033-1000

Mailing address

17201 Keely Dr
Tampa, FL 33647-2607
Phone (813) 952-8592

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S027026AZMDPharmacotherapy Pharmacist
RPH90150CAMDPharmacotherapy Pharmacist
PS67094FLMDPharmacotherapy Pharmacist
RPH035029GAMDPharmacotherapy Pharmacist
5261971IDMDPharmacotherapy Pharmacist
071794NYMDPharmacotherapy Pharmacist
48466TNMDPharmacotherapy Pharmacist
74631TXMDPharmacotherapy Pharmacist
033.0135390VTMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1386473536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 KEELY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472607",
            "telephone_number": "813-952-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 N 83RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331000",
            "telephone_number": "623-247-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYA",
        "middle_name": "VIRENDRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AZ",
            "license": "S027026",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "48466",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VT",
            "license": "033.0135390",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "GA",
            "license": "RPH035029",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "RPH90150",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "071794",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "5261971",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "74631",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS67094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.