Individual provider Active NPI

Hitesh R Patel, RPH

  • Pharmacist
  • Taylor, MI
National Provider Identifier
1497409908
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302107010 Issued in MI
Practice address
22011 Ecorse Rd
Taylor, MI 48180-1847
Phone
(313) 429-1999
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302107010 MI Primary

Addresses

Primary practice location

22011 Ecorse Rd
Taylor, MI 48180-1847

Mailing address

49605 Potomac Rd
Canton, MI 48188-3447
Phone (201) 306-8279

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302107010MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor RX Pharmacy Inc CurrentSince Feb 6, 2022 Accepting new patients
Wayne Pharmacy Inc Current Accepting new patients
Spectrum Development Corporation PastSince Feb 6, 2022 Accepting new patients

Locations

22011 Ecorse Rd
Taylor, MI 48180
Phone (313) 299-0870

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1497409908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49605 POTOMAC RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883447",
            "telephone_number": "201-306-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22011 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801847",
            "telephone_number": "313-429-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HITESH",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302107010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.