Active NPI
Jaimini Patel
- Pharmacist
- Woodlyn, PA
National Provider Identifier
1457937831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045694R
- Practice address
- 1301 Jefferson Avenue
Woodlyn, PA 19094 - Phone
- (610) 833-5600
- Fax
- (610) 833-1954
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- 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 | RP045694R | PA | Primary |
Addresses
Primary practice location
1301 Jefferson Avenue
Woodlyn, PA 19094
Mailing address
1301 Jefferson Avenue
Woodlyn, PA 19094
Phone (610) 833-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 S Chester Rd
Suite 301
Swarthmore, PA 19081-1800
4 Ebie Cir
Media, PA 19063-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP045694R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radhik | Current | Accepting new patients | |
| Delco Behavioral Health Clinic PLLC | Current | Accepting new patients | |
| Radhik | Current | Accepting new patients |
Locations
1301 Jefferson Ave
Woodlyn, PA 19094
Phone (610) 833-5600
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Swarthmore, PA
- NPI 1700771342
-
- Long Term Care Pharmacy
- Woodlyn, PA
- NPI 1912745027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1457937831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 JEFFERSON AVENUE",
"city": "WOODLYN",
"state": "PA",
"postal_code": "19094",
"telephone_number": "610-833-5600",
"fax_number": "610-833-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 JEFFERSON AVENUE",
"city": "WOODLYN",
"state": "PA",
"postal_code": "19094",
"telephone_number": "610-833-5600",
"fax_number": "610-833-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAIMINI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045694R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodlyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.