Individual provider Active NPI

Nikita Mayur Patel

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1497190565
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27342 Issued in NC
Practice address
10110 Benfield Rd
Charlotte, NC 28269-2678
Phone
(704) 992-6955
NPI assigned
May 2, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27342 NC Primary

Addresses

Primary practice location

10110 Benfield Rd
Charlotte, NC 28269-2678

Mailing address

7903 Hereford St
Charlotte, NC 28213-5196
Phone (205) 915-7002

Other practice location 1

800 Lakeshore Dr
Birmingham, AL 35229-0001
Phone (205) 915-7002

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
27342NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix North Carolina, LP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497190565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 HEREFORD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135196",
            "telephone_number": "205-915-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 BENFIELD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692678",
            "telephone_number": "704-992-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352290001",
            "country_code": "US",
            "telephone_number": "205-915-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKITA",
        "middle_name": "MAYUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.