Ketankumar Patel

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03918300 Issued in NJ

Practice address

1905 Route 88 Ste 5
Brick, NJ 08724-3156

Phone

(732) 861-6577

NPI assigned

Apr 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Dharmsutay LLC

  • Pharmacy
  • Brick, NJ
  • NPI 1770196693
  NPD Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1467034306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 TEXAS RD",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514105",
            "telephone_number": "732-861-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ROUTE 88 STE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243156",
            "telephone_number": "732-861-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETANKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03918300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENSE",
            "identifier": "28RI03918300",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Micromerchants",
            "affiliation": "N",
            "endpointDescription": "PrimeRx software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1905 Route 88 Ste 5",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087243156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harshil Patel, M.D.
• Hemandri Monish Patel, PHARMD
• Hiral Patel
• Hitesh Babubhai Patel, M.D.
• Jayantilal C Patel, MD
• Kinnari Patel, RPH, PHARMD
• Mansi Patel
• Mihir Patel, MD
• Nayana M Patel, APN-C
• Neil Patel, MD

• Pharmacist in Brick, NJ
• Providers in Brick, NJ by specialty
• Pharmacist in New Jersey

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

Verify at the official NPI Registry.