Active NPI
Hitesh G Patel, PHARMACIST
- Pharmacist
- Gurnee, IL
National Provider Identifier
1649396342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 6655 Grand Ave
Gurnee, IL 60031-5274 - Phone
- (847) 856-8701
- Fax
- (847) 856-8704
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
6655 Grand Ave
Gurnee, IL 60031-5274
Mailing address
37016 N Deerpath Dr
Lake Villa, IL 60046-6768
Phone (224) 381-5018
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051-036806 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649396342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37016 N DEERPATH DR",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600466768",
"telephone_number": "224-381-5018",
"fax_number": "847-856-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 GRAND AVE",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315274",
"telephone_number": "847-856-8701",
"fax_number": "847-856-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HITESH",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.