Active NPI
Adrienne Patel, PHARMD
- Pharmacist
- Gallup, NM
National Provider Identifier
1659773471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPOOOO8068
- Practice address
- 980 US Highway 491
Gallup, NM 87301-5339 - Phone
- (505) 722-9977
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- 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 | RPOOOO8068 | NM | Primary |
Addresses
Primary practice location
980 US Highway 491
Gallup, NM 87301-5339
Mailing address
980 Old US Highway 666
Gallup, NM 87301
Phone (505) 722-9977
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 |
|---|---|---|---|
| RPOOOO8068 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1659773471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 OLD US HIGHWAY 666",
"city": "GALLUP",
"state": "NM",
"postal_code": "87301",
"telephone_number": "505-722-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 US HIGHWAY 491",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015339",
"telephone_number": "505-722-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ADRIENNE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RPOOOO8068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.