Active NPI
Krystal Patel
- Pharmacist
- Alexandria, VA
National Provider Identifier
1508260316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202212411
- Practice address
- 1517 Mt. Vernon Ave
Alexandria, VA 22301 - Phone
- (813) 317-0485
- NPI assigned
- Oct 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202212411 | VA | Primary |
| Pharmacist | 183500000X | 21967 | MD |
Addresses
Primary practice location
1517 Mt. Vernon Ave
Alexandria, VA 22301
Mailing address
4390 King St. Apt 1014
Alexandria, VA 22302
Phone (813) 317-0485
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 |
|---|---|---|---|
| 0202212411 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1508260316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 KING ST. APT 1014",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22302",
"telephone_number": "813-317-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 MT. VERNON AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22301",
"telephone_number": "813-317-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212411",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.