Amit M Patel, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Dulce, NM
NPI 1679163893 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1679163893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 65504 (TX)
- Practice address
- 500 Mundo Rd
Dulce, NM 87528 - Phone
- (575) 759-3291
- NPI assigned
- Jan 21, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65504 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulce Health Center | Current |
Accepting new patients | |
| Jicarilla IHS Pharmacy | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 65504 | TX | Yes |
Addresses
Primary practice location
500 Mundo Rd
Dulce, NM 87528
Mailing address
1910 Wyster Dr
Garland, TX 75040-4587
Phone (214) 208-6218
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18347904 | Other | TX | DRIVER LICENSE |
Other providers in Dulce, NM
- Lloyd Merino
- Cynthia M. Montanez
- Eileen Claire Monyok
- Phyllis Diane Morehead
- Northwest Reional Education Coop #2
- Darlene Peshlakai Valdez
- Steven John Petrakis
- Kelly Rae Pettigrew
- Eric J Polczynski
- Theresa Ann Posey
All providers in Dulce, NM · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.