Individual provider Active NPI

Mitesh Patel

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1679296495
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP446174 Issued in PA
Practice address
4925 N 5TH St
Philadelphia, PA 19120-3809
Phone
(215) 690-5400
Fax
(215) 690-5670
NPI assigned
Sep 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446174 PA Primary

Addresses

Primary practice location

4925 N 5TH St
Philadelphia, PA 19120-3809

Mailing address

4925 N 5TH St
Philadelphia, PA 19120-3809
Phone (215) 690-5400

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

LicenseStateTypeSpecialty
RP446174PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
S S Healthcare Inc Current Accepting new patients
Sahajanand Healthcare Inc Current Accepting new patients
S S Healthcare Inc Current Accepting new patients

Locations

4925 N 5th St
Philadelphia, PA 19120
Phone (201) 360-1255

Organizations & group practices 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1679296495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-690-5400",
            "fax_number": "215-690-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-690-5400",
            "fax_number": "215-690-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.