Active NPI
Yamini Patel
- Pharmacist
- Desoto, TX
National Provider Identifier
1679194419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66254
- Practice address
- 734 E Pleasant Run Rd
Desoto, TX 75115-4006 - Phone
- (972) 274-2178
- NPI assigned
- May 4, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79854 | CA | |
| Pharmacist | 183500000X | 66254 | TX | Primary |
Addresses
Primary practice location
734 E Pleasant Run Rd
Desoto, TX 75115-4006
Mailing address
5225 Maple Ave Apt 4115
Dallas, TX 75235-8448
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Intercom | Health Information Exchange (HIE) | WALGREEN CO |
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 |
|---|---|---|---|
| 66254 | TX | MD | Counselor |
| 79854 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1679194419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 MAPLE AVE APT 4115",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 E PLEASANT RUN RD",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154006",
"telephone_number": "972-274-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "YAMINI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2023-11-27",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79854",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66254",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Intercom",
"affiliation": "Y",
"endpointDescription": "Software",
"affiliationName": "WALGREEN CO",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "734 E Pleasant Run Rd",
"city": "DeSoto",
"state": "TX",
"country_code": "US",
"postal_code": "751154006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.