Active NPI
Amish H Patel, BS
- Pharmacist
- Coppell, TX
National Provider Identifier
1639439169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38002
- Practice address
- 150 N Coppell Rd Ste Pharmacy
Coppell, TX 75019-2293 - Phone
- (972) 371-0067
- NPI assigned
- May 17, 2012
- Last updated
- Aug 5, 2022
- 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 | 38002 | TX | Primary |
Addresses
Primary practice location
150 N Coppell Rd Ste Pharmacy
Coppell, TX 75019-2293
Mailing address
741 E Peninsula Dr
Coppell, TX 75019-6118
Phone (972) 745-2940
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38002 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Apothecary LP | Current | Accepting new patients | |
| Legacy Apothecary LP | Current | Accepting new patients |
Locations
150 N Coppell Rd
Coppell, TX 75019
Phone (469) 213-3659
Interoperability endpoints
- amishpatel@gfmc.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1639439169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 E PENINSULA DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750196118",
"telephone_number": "972-745-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N COPPELL RD STE PHARMACY",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192293",
"telephone_number": "972-371-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMISH",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.