Active NPI
Maya Virendra Patel, PHARMD
- Pharmacotherapy Pharmacist
- Phoenix, AZ
National Provider Identifier
1386473536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS67094
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S027026 | AZ | MD | Pharmacotherapy Pharmacist |
| RPH90150 | CA | MD | Pharmacotherapy Pharmacist |
| PS67094 | FL | MD | Pharmacotherapy Pharmacist |
| RPH035029 | GA | MD | Pharmacotherapy Pharmacist |
| 5261971 | ID | MD | Pharmacotherapy Pharmacist |
| 071794 | NY | MD | Pharmacotherapy Pharmacist |
| 48466 | TN | MD | Pharmacotherapy Pharmacist |
| 74631 | TX | MD | Pharmacotherapy Pharmacist |
| 033.0135390 | VT | MD | Pharmacotherapy 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.