Kunal G Patel

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RP4476309 Issued in PA

Practice address

7625 Hillview Cir
Coopersburg, PA 18036-1649

Phone

(703) 424-5494

Fax

(570) 859-1013

NPI assigned

Nov 18, 2020

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

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.

• KRVF LLC

  dba Shenandoah Pharmacy

  • Community/Retail Pharmacy
  • Shenandoah, PA
  • NPI 1881258622
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1447853890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 HILLVIEW CIR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361649",
            "telephone_number": "703-424-5494",
            "fax_number": "570-859-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 HILLVIEW CIR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361649",
            "telephone_number": "703-424-5494",
            "fax_number": "570-859-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 N MAIN ST",
            "address_purpose": "LOCATION",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "17976",
            "country_code": "US",
            "telephone_number": "570-859-1013",
            "fax_number": "570-859-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUNAL",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP4476309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nyce, PT, DPT
• Jennifer O'Hara, PTA
• Oak HRC Valley Manor LLC (Valley Manor Health and Rehabilitation Center)
• PA Pain Specialists, PC
• John McCue Page, PH.D.
• Shailesh H. Patel, RPH
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01093)
• Laura Phillips
• Kimberly Poehlmann, DPT
• Susan Michelle Probasco, OTRL

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.