Active NPI
Neeta Dilesh Patel, BPHARM
- Pharmacist
- Atlanta, GA
National Provider Identifier
1700052719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15177
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA15177 | Other | GA | GEORGIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15177 | GA | MD | Internal 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.