Active NPI
Divyen Hemant Patel
- Pharmacist
- Tulare, CA
National Provider Identifier
1679352298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88301
- Practice address
- 1395 E Prosperity Ave
Tulare, CA 93274-8053 - Phone
- (559) 688-2992
- NPI assigned
- Sep 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 88301 | CA | Primary |
Addresses
Primary practice location
1395 E Prosperity Ave
Tulare, CA 93274-8053
Mailing address
PO Box 30
Tulare, CA 93275-0030
Phone (559) 687-2725
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 |
|---|---|---|---|
| 88301 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | 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 and National Provider Directory roles.
-
- Pharmacy
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- NPI 1114960960
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1679352298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30",
"city": "TULARE",
"state": "CA",
"postal_code": "932750030",
"telephone_number": "559-687-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 E PROSPERITY AVE",
"city": "TULARE",
"state": "CA",
"postal_code": "932748053",
"telephone_number": "559-688-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIVYEN",
"middle_name": "HEMANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.