Individual provider Active NPI

Neeta Dilesh Patel, BPHARM

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1700052719
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15177 Issued in GA
Practice address
2090 Dunwoody Club Dr
Atlanta, GA 30350-5434
Phone
(770) 391-9792
Fax
(770) 391-0908
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15177 GA Primary

Addresses

Primary practice location

2090 Dunwoody Club Dr
Atlanta, GA 30350-5434

Mailing address

8935 Laurel Way
Alpharetta, GA 30022-5940
Phone (770) 640-8316

Other identifiers 1

IdentifierTypeStateIssuer
GA15177OtherGAGEORGIA PHARMACY LICENSE

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
15177GAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1700052719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8935 LAUREL WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225940",
            "telephone_number": "770-640-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 DUNWOODY CLUB DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505434",
            "telephone_number": "770-391-9792",
            "fax_number": "770-391-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEETA",
        "middle_name": "DILESH",
        "name_prefix": "Mrs.",
        "credential": "BPHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "15177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PHARMACY LICENSE",
            "identifier": "GA15177",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.