Active NPI
Jaldip Patel
- Pharmacist
- Lithia Springs, GA
National Provider Identifier
1437812963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033235
- Practice address
- 1100 Thornton Rd
Lithia Springs, GA 30122-2616 - Phone
- (770) 819-1123
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033235 | GA | Primary |
Addresses
Primary practice location
1100 Thornton Rd
Lithia Springs, GA 30122-2616
Mailing address
3516 Wheeler LN
McDonough, GA 30253-6156
Phone (404) 395-6306
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033235 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1437812963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3516 WHEELER LN",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536156",
"telephone_number": "404-395-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 THORNTON RD",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301222616",
"telephone_number": "770-819-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JALDIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.