Individual provider Active NPI

Avikumar Patel

  • Pharmacist
  • Livingston, TX
National Provider Identifier
1417548843
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62108 Issued in TX
Practice address
714 W Church St
Livingston, TX 77351-3109
Phone
(936) 327-5510
NPI assigned
Jan 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 62108 TX Primary

Addresses

Primary practice location

714 W Church St
Livingston, TX 77351-3109

Mailing address

9719 Cape Breeze Dr
Houston, TX 77095-5061

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
62108TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NV Creative Inc CurrentSince Feb 19, 2023 Accepting new patients
NV Creative Inc PastSince Jan 31, 2021 Accepting new patients

Locations

111 S William Barnett Ave
Cleveland, TX 77327
Phone (281) 593-3800

714 W Church St
Livingston, TX 77351
Phone (936) 327-5510

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1417548843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9719 CAPE BREEZE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513109",
            "telephone_number": "936-327-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AVIKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.