Active NPI
Khushboo Patel
- Pharmacist
- Newburgh, NY
National Provider Identifier
1497407910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068764
- Practice address
- 82 N Plank Rd
Newburgh, NY 12550-2120 - Phone
- (845) 926-3600
- NPI assigned
- Jan 25, 2022
- Last updated
- Jan 25, 2022
- 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 | 068764 | NY | Primary |
Addresses
Primary practice location
82 N Plank Rd
Newburgh, NY 12550-2120
Mailing address
82 N Plank Rd
Newburgh, NY 12550-2120
Phone (845) 926-3600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068764 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
82 N Plank Rd
Newburgh, NY 12550
Phone (845) 926-3600
Organizations & group practices 2
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": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1497407910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 N PLANK RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502120",
"telephone_number": "845-926-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 N PLANK RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502120",
"telephone_number": "845-926-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KHUSHBOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.