Active NPI
Gayatrimata LLC
- Community/Retail Pharmacy
- Cleveland, TN
National Provider Identifier
1407574882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GAYATRIMATA LLC
- Practice address
- 2296 Dalton Pike SE
Cleveland, TN 37311-7752 - Phone
- (423) 650-3605
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Metesh Jayantilal Patel
- Title
- Pharmacy Owner
- Phone
- (423) 650-3605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2296 Dalton Pike SE
Cleveland, TN 37311-7752
Mailing address
2670 Kensington Park TRL NW
Cleveland, TN 37312-2298
Phone (423) 740-4788
Other names 1
- Cleveland Discount Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221206002948 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698144079 | Practice locations: Cleveland, TN |
| O20230707003712 | TN | Part B Supplier - Pharmacy | 5698144079 | Practice locations: Cleveland, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Cleveland Discount Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Cleveland, TN
- NPI 1487403655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1407574882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 KENSINGTON PARK TRL NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373122298",
"telephone_number": "423-740-4788",
"fax_number": "423-740-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 DALTON PIKE SE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373117752",
"telephone_number": "423-650-3605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAYATRIMATA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "METESH",
"authorized_official_middle_name": "JAYANTILAL",
"authorized_official_title_or_position": "PHARMACY OWNER",
"authorized_official_telephone_number": "423-650-3605"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cleveland Discount Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.