Individual provider Active NPI

Bhavin Patel, PHARM D.

  • Pharmacist
  • Mount Vernon, NY
National Provider Identifier
1396067930
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053260 Issued in NY
Practice address
1 Pathmark PLZ
Mount Vernon, NY 10550-3518
Phone
(914) 668-5989
Fax
(914) 668-6005
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053260 NY Primary

Addresses

Primary practice location

1 Pathmark PLZ
Mount Vernon, NY 10550-3518

Mailing address

1 Pathmark PLZ
Mount Vernon, NY 10550-3518
Phone (914) 668-5989

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
053260NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgies Wood Avenue Inc Current Accepting new patients
Georgies Browns Mills Inc Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1396067930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PATHMARK PLZ",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503518",
            "telephone_number": "914-668-5989",
            "fax_number": "914-668-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PATHMARK PLZ",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503518",
            "telephone_number": "914-668-5989",
            "fax_number": "914-668-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVIN",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.