Hardik Chandrakant Patel, LICENSED PHARMACIST

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

68113 Issued in TX

Practice address

113 NE Johnson Ave Ste 300
Burleson, TX 76028-4139

Phone

(817) 789-4099

Fax

(800) 616-4641

NPI assigned

Jan 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ocean Blue Holdings, LLC

  • Clinic/Center
  • Burleson, TX
  • NPI 1104307065

  Community/Retail Pharmacy

  NPD (past)
• Ocean Blue Holdings, LLC

  • Long Term Care Pharmacy
  • Burleson, TX
  • NPI 1881208288
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1407445018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NE JOHNSON AVE STE 300",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284139",
            "telephone_number": "817-789-4099",
            "fax_number": "800-616-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NE JOHNSON AVE STE 300",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284139",
            "telephone_number": "817-789-4099",
            "fax_number": "800-616-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HARDIK",
        "middle_name": "CHANDRAKANT",
        "credential": "LICENSED PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "68113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Trisha Palomo
• Jennifer Elizabeth Paris, PA
• Ryan Park, D.D.S.
• Axita Patel, DMD
• Deepak H Patel, MD
• Imran A Patel, MD
• Mihir V Patel, M.D.
• Shiv Pravin Patel, MD
• Amy Patton
• Charles Richard Payerle Jr., DDS MD

• All providers in Burleson, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.