Active NPI
Kiran Patel
- Pharmacist
- Ypsilanti, MI
National Provider Identifier
1649925199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027188
- Practice address
- 200 Arnet St Ste 130
Ypsilanti, MI 48198-5735 - Phone
- (734) 483-4313
- Fax
- (734) 483-1305
- NPI assigned
- Feb 14, 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 | 5302027188 | MI | Primary |
Addresses
Primary practice location
200 Arnet St Ste 130
Ypsilanti, MI 48198-5735
Mailing address
200 Arnet St Ste 130
Ypsilanti, MI 48198-5735
Phone (734) 483-4313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302027188 | Medicaid | MI | |
| 5315104506 | Medicaid | MI |
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 |
|---|---|---|---|
| 5302027188 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1649925199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ARNET ST STE 130",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985735",
"telephone_number": "734-483-4313",
"fax_number": "734-483-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ARNET ST STE 130",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985735",
"telephone_number": "734-483-4313",
"fax_number": "734-483-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KIRAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5302027188",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5315104506",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.