Organization Active NPI

Pan Patel

  • Community/Retail Pharmacy
  • Rancho Santa Margarita, CA
National Provider Identifier
1619316486
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 51149 Issued in CA
Legal business name
PAN PATEL
Practice address
29851 Avetura
Ste J-1
Rancho Santa Margarita, CA 92688
Phone
(949) 303-1053
Fax
(949) 326-0347
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Pan Patel, RPH
Title
Owner/Pic
Phone
(562) 472-7821

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY 51149 CA Primary

Addresses

Primary practice location

29851 Avetura
Ste J-1
Rancho Santa Margarita, CA 92688

Mailing address

29851 Avetura
Ste J-1
Rancho Santa Margarita, CA 92688
Phone (949) 326-0347

Other identifiers 2

IdentifierTypeStateIssuer
2143590OtherPK
1619316486MedicaidCA

Other names 1

  • MedsRx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

29851 Aventura
Ste J1
Rancho Santa Margarita, CA 92688
Phone (949) 303-1053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1619316486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29851 AVETURA",
            "address_2": "STE J-1",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-326-0347",
            "fax_number": "949-303-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29851 AVETURA",
            "address_2": "STE J-1",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-303-1053",
            "fax_number": "949-326-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "562-472-7821",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619316486",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedsRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.