Individual provider Active NPI

Mayur Chandra Patel, R.PH

  • Pharmacist
  • Dalton, PA
National Provider Identifier
1669834974
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039137L Issued in PA
Practice address
102 W Main St
Dalton, PA 18414-0027
Phone
(570) 563-1151
Fax
(570) 563-0138
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP039137LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalpharm Inc Pharmacist PastSince Jun 23, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039137L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

102 W Main St
Dalton, PA 18414-0027

Mailing address

102 W Main St
P.O.Box 27
Dalton, PA 18414-9644
Phone (570) 563-1151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2016.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1669834974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "address_2": "P.O.BOX 27",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "184149644",
            "telephone_number": "570-563-1151",
            "fax_number": "570-563-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "184140027",
            "telephone_number": "570-563-1151",
            "fax_number": "570-563-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYUR",
        "middle_name": "CHANDRA",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039137L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.