Active NPI
Kunjal Kiran Patel, PHARM. D.
- Pharmacist
- Sykesville, MD
National Provider Identifier
1609181684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19600
- Practice address
- 640 Lynn Way
Sykesville, MD 21784-8535 - Phone
- (215) 990-4540
- NPI assigned
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032249322 | OH | |
| Pharmacist | 183500000X | 051288599 | IL | |
| Pharmacist | 183500000X | 28RI02950400 | NJ | |
| Pharmacist | 183500000X | RP045311L | PA | |
| Pharmacist | 183500000X | 19600 | MD | Primary |
Addresses
Primary practice location
640 Lynn Way
Sykesville, MD 21784-8535
Mailing address
640 Lynn Way
Sykesville, MD 21784-8535
Phone (215) 990-4540
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02950400 | Other | NJ | PHARMACY LICENSE |
| 032249322 | Other | OH | PHARMACY LICENSE |
| 051288599 | Other | IL | PHARMACY LICENSE |
| RP045311L | Other | PA | PHARMACY LICENSE |
| 19600 | Other | MD | PHARMACY LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051288599 | IL | MD | Pharmacist |
| 28RI02950400 | NJ | MD | Pharmacist |
| 032249322 | OH | MD | Pharmacist |
| RP045311L | PA | MD | Pharmacist |
| 19600 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Mills Pharmacy LLC | Past | Accepting new patients | |
| Medventure Partners LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Sykesville, MD
- NPI 1316278047
-
- Community/Retail Pharmacy
- Bowie, MD
- NPI 1427698257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1609181684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 LYNN WAY",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217848535",
"telephone_number": "215-990-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 LYNN WAY",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217848535",
"telephone_number": "215-990-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNJAL",
"middle_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "032249322",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051288599",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02950400",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045311L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "28RI02950400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "032249322",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "051288599",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "RP045311L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "19600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.