Active NPI
Bhrantiben Patel
- Pharmacist
- Suffolk, VA
National Provider Identifier
1396202735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206515
- Practice address
- 5839 Harbour View Blvd Ste 102
Suffolk, VA 23435 - Phone
- (757) 394-1870
- Fax
- (757) 394-1873
- NPI assigned
- Feb 21, 2019
- Last updated
- Feb 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202206515 | VA | Primary |
Addresses
Primary practice location
5839 Harbour View Blvd Ste 102
Suffolk, VA 23435
Mailing address
2982 Sugar Maple Dr
Virginia Beach, VA 23453-7052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202206515 | Other | VA | BOARD OF PHARMACY |
Other names 1
- Bhranti Patel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206515 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMM Enterprises LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1396202735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2982 SUGAR MAPLE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234537052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5839 HARBOUR VIEW BLVD STE 102",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23435",
"telephone_number": "757-394-1870",
"fax_number": "757-394-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHRANTIBEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "0202206515",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BHRANTI",
"last_name": "PATEL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.