Active NPI
Rajan Sunny Patel, PHARMD
- Pharmacist
- Glendora, CA
National Provider Identifier
1629883822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90605
- Practice address
- 550 S Grand Ave
Glendora, CA 91741-4211 - Phone
- (626) 857-0633
- NPI assigned
- Feb 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90605 | CA | Primary |
Addresses
Primary practice location
550 S Grand Ave
Glendora, CA 91741-4211
Mailing address
15059 Sandalwood LN
Chino Hills, CA 91709-2674
Phone (909) 465-3729
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 |
|---|---|---|---|
| 90605 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1629883822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15059 SANDALWOOD LN",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092674",
"telephone_number": "909-465-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414211",
"telephone_number": "626-857-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJAN",
"middle_name": "SUNNY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.