Individual provider Active NPI

Ritesh Patel, PHARMD

  • Pharmacist
  • Kennesaw, GA
National Provider Identifier
1457668907
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030305 Issued in GA
Practice address
2851 Cobb Pkwy NW Ste 107
Kennesaw, GA 30152
Phone
(770) 800-0025
NPI assigned
Sep 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 44825 FL
Pharmacist 183500000X RPH030305 GA Primary

Addresses

Primary practice location

2851 Cobb Pkwy NW Ste 107
Kennesaw, GA 30152

Mailing address

2851 Cobb Pkwy NW Ste 107
Kennesaw, GA 30152-2718
Phone (770) 800-0025

Other practice location 1

12100 S Apopka Vineland Rd
Orlando, FL 32836-6801
Phone (407) 968-2238

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS 44825FLMDPharmacist
RPH030305GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennesaw RX LLC Current Accepting new patients

Locations

2851 Cobb Pkwy NW
Ste 107
Kennesaw, GA 30152
Phone (700) 800-0025

Organizations & group practices 1

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": "1283558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1457668907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 COBB PKWY NW STE 107",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522718",
            "telephone_number": "770-800-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 COBB PKWY NW STE 107",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-800-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12100 S Apopka Vineland Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328366801",
            "country_code": "US",
            "telephone_number": "407-968-2238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RITESH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-04",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 44825",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; 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.