Individual provider Active NPI

Isita Patel

  • Pharmacist
  • Goldsboro, NC
National Provider Identifier
1578934469
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03749200 Issued in NJ
Practice address
2202 Wayne Memorial Dr
Goldsboro, NC 27534-1724
Phone
(919) 739-5539
NPI assigned
Oct 17, 2015
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27448 NC
Pharmacist 183500000X 28RI03749200 NJ Primary

Addresses

Primary practice location

2202 Wayne Memorial Dr
Goldsboro, NC 27534-1724

Mailing address

552 W New Hope Rd Apt A2
Goldsboro, NC 27534-7559
Phone (201) 377-8865

Other practice location 1

10 Lincoln Hwy
Edison, NJ 08820-3906
Phone (732) 744-0705

Other practice location 2

10 Lincoln Hwy
Edison, NJ 08820-3906
Phone (732) 744-0705

Other names 1

  • Isita Amin Former name

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
27448NCMDPharmacist
28RI03749200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578934469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 W NEW HOPE RD APT A2",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347559",
            "telephone_number": "201-377-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341724",
            "telephone_number": "919-739-5539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203906",
            "country_code": "US",
            "telephone_number": "732-744-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203906",
            "country_code": "US",
            "telephone_number": "732-744-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ISITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27448",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03749200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISITA",
            "last_name": "AMIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, 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.