Active NPI
Vatsal Patel
- Pharmacist
- Odessa, TX
National Provider Identifier
1689264822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54939
- Practice address
- 4060 Faudree Rd Ste 101
Odessa, TX 79765-8755 - Phone
- (432) 614-6828
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 21, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 54939 | TX | Primary |
Addresses
Primary practice location
4060 Faudree Rd Ste 101
Odessa, TX 79765-8755
Mailing address
3909 Yorkshire Dr
Odessa, TX 79765-2332
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 |
|---|---|---|---|
| 54939 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basin RX, LLC | Current | Accepting new patients | |
| Dorado RX Pharmacy,LLC | Current | Accepting new patients |
Locations
4060 N Faudree Rd
Ste 101
Odessa, TX 79765
Phone (432) 614-6828
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": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1689264822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 YORKSHIRE DR",
"city": "ODESSA",
"state": "TX",
"postal_code": "797652332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FAUDREE RD STE 101",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658755",
"telephone_number": "432-614-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VATSAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.