Individual provider Active NPI

Janakkumar Patel

  • Pharmacist
  • East Meadow, NY
National Provider Identifier
1508198763
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052454-1 Issued in NY
Practice address
479 Lakeville LN
East Meadow, NY 11554-2201
Phone
(718) 541-9566
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052454-1 NY Primary

Addresses

Primary practice location

479 Lakeville LN
East Meadow, NY 11554-2201

Mailing address

4729 43Rd St
Apt 1F
Woodside, NY 11377-6228

Other practice location 1

6801 Myrtle Ave
Glendale, NY 11385-7370
Phone (718) 366-3561

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
052454-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1508198763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 43RD ST",
            "address_2": "APT 1F",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 LAKEVILLE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542201",
            "telephone_number": "718-541-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113857370",
            "country_code": "US",
            "telephone_number": "718-366-3561",
            "fax_number": "718-366-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JANAKKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052454-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.