Sanjaykumar Ghanshyambhai Patel, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302035862 Issued in MI

Practice address

1716 W Milham Ave
Portage, MI 49024-1230

Phone

(269) 888-2300

Fax

(269) 993-4749

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sanjay Ghanshyambhai Patel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shrieeji Inc

  • Pharmacy
  • Portage, MI
  • NPI 1134601842
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1417549148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241230",
            "telephone_number": "269-888-2300",
            "fax_number": "269-993-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241230",
            "telephone_number": "269-888-2300",
            "fax_number": "269-993-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJAYKUMAR",
        "middle_name": "GHANSHYAMBHAI",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "PATEL",
            "middle_name": "GHANSHYAMBHAI",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashley Nicole Parkerson
• Allison Parrish
• Robert Earl Parsons Jr., MA, CRC, CVRT, LLPC
• Kelly J Pasch, FNP
• Kunjal Patel, OD
• Sharvil Patel, PHARMD
• Kelsey Paternoster
• Brandon Pathic
• Katherine McLellan Patil, N.P.
• Jasmine Patterson

• Pharmacist in Portage, MI
• Providers in Portage, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.