Individual provider Active NPI

Narendrabhai N Patel

  • Pharmacist
  • Duluth, GA
National Provider Identifier
1477852374
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022005 Issued in GA
Practice address
10820 Abbotts Bridge Rd
Rite Aid Pharmacy # 11731
Duluth, GA 30097-5793
Phone
(770) 814-8919
Fax
(770) 495-8672
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022005 GA Primary
Pharmacist 183500000X 5302034036 MI
Pharmacist 183500000X 16883 MD

Addresses

Primary practice location

10820 Abbotts Bridge Rd
Rite Aid Pharmacy # 11731
Duluth, GA 30097-5793

Mailing address

10820 Abbotts Bridge Rd
Rite Aid Pharmacy # 11731
Duluth, GA 30097-5793
Phone (770) 814-8919

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

State licenses

LicenseStateTypeSpecialty
16883MDMDDentist
RPH022005GAMDPharmacist
5302034036MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1477852374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD",
            "address_2": "RITE AID PHARMACY # 11731",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975793",
            "telephone_number": "770-814-8919",
            "fax_number": "770-495-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD",
            "address_2": "RITE AID PHARMACY # 11731",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975793",
            "telephone_number": "770-814-8919",
            "fax_number": "770-495-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NARENDRABHAI",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022005",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034036",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.