Active NPI
Ritesh Patel, PHARMD
- Pharmacist
- Kennesaw, GA
National Provider Identifier
1457668907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS 44825 | FL | MD | Pharmacist |
| RPH030305 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pharmacy
- Kennesaw, GA
- NPI 1992296339
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.