Individual provider Active NPI

Nita R Patel, DOCTORATE PHARMACY

  • Pharmacist
  • Dalton, GA
National Provider Identifier
1407440183
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023013 Issued in GA
Practice address
1247 W Walnut Ave
Dalton, GA 30720-3958
Phone
(706) 428-9003
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023013 GA Primary

Addresses

Primary practice location

1247 W Walnut Ave
Dalton, GA 30720-3958

Mailing address

1247 W Walnut Ave
Dalton, GA 30720-3958
Phone (240) 723-2375

Other practice location 1

2170 Arbordale Pl Unit 11
Dalton, GA 30720-3250
Phone (240) 723-2375

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

LicenseStateTypeSpecialty
RPH023013GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 15, 2024 Accepting new patients
Walgreen Co PastSince Mar 16, 2021 Accepting new patients

Locations

1247 W Walnut Ave
Dalton, GA 30720
Phone (706) 270-4633

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1407440183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 W WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203958",
            "telephone_number": "240-723-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 W WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203958",
            "telephone_number": "706-428-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2170 Arbordale Pl Unit 11",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307203250",
            "country_code": "US",
            "telephone_number": "240-723-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NITA",
        "middle_name": "R",
        "credential": "DOCTORATE PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.