Individual provider Active NPI

Maulik V Patel, PHARMD, BSPS

  • Pharmacist
  • Hopkinsville, KY
National Provider Identifier
1679978746
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53020441428 Issued in MI
Practice address
2713 A Fort Campbell Blvd
Hopkinsville, KY 42240
Phone
(270) 962-7530
NPI assigned
Oct 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53020441428 MI Primary

Addresses

Primary practice location

2713 A Fort Campbell Blvd
Hopkinsville, KY 42240

Mailing address

2713 Fort Campbell Blvd
Hopkinsville, KY 42240-4940

Other practice location 1

1121 E Caro Rd
Caro, MI 48723-1216
Phone (989) 673-7922

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
53020441428MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aayra Healthcare LLC Current Accepting new patients
Siyaa Healthcare LLC Current Accepting new patients
Aadhya Healthcare LLC Current Accepting new patients

Locations

2713 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 962-7530

2713 Fort Campbell Blvd
#A
Hopkinsville, KY 42240
Phone (270) 962-7530

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679978746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 A FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-962-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 E Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231216",
            "country_code": "US",
            "telephone_number": "989-673-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAULIK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BSPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "53020441428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.