Active NPI
Mayur Chandra Patel, R.PH
- Pharmacist
- Dalton, PA
National Provider Identifier
1669834974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039137L
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP039137L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalpharm Inc | Pharmacist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP039137L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.