Active NPI
Susmitkumar Patel
- Pharmacist
- Lapeer, MI
National Provider Identifier
1679855118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038727
- Practice address
- 944 Baldwin Rd Ste B
Lapeer, MI 48446-3089 - Phone
- (810) 245-9600
- Fax
- (810) 969-4013
- NPI assigned
- Sep 11, 2011
- 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 | 5302038727 | MI | Primary |
Addresses
Primary practice location
944 Baldwin Rd Ste B
Lapeer, MI 48446-3089
Mailing address
944 Baldwin Rd Ste B
Lapeer, MI 48446-3089
Phone (810) 245-9600
Other names 1
- Susmit Patel
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 |
|---|---|---|---|
| 5302038727 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Rd Pharmacy Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
944 Baldwin Rd
Ste B
Lapeer, MI 48446
Phone (810) 245-9600
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": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1679855118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 BALDWIN RD STE B",
"city": "LAPEER",
"state": "MI",
"postal_code": "484463089",
"telephone_number": "810-245-9600",
"fax_number": "810-969-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 BALDWIN RD STE B",
"city": "LAPEER",
"state": "MI",
"postal_code": "484463089",
"telephone_number": "810-245-9600",
"fax_number": "810-969-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUSMITKUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-11",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSMIT",
"last_name": "PATEL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.