Organization Active NPI

Rajnikant M Patel

  • Community/Retail Pharmacy
  • Malibu, CA
National Provider Identifier
1710070396
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY41309 Issued in CA
Legal business name
RAJNIKANT M PATEL
Practice address
29211 Heathercliff Rd
Malibu, CA 90265-4145
Phone
(310) 457-9707
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Rajnikant M Patel, RPH
Title
Owner Pharmacist
Phone
(310) 457-9707

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 45225 CA
Community/Retail Pharmacy 3336C0003X PHY41309 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

29211 Heathercliff Rd
Malibu, CA 90265-4145

Mailing address

29211 Heathercliff Rd
Malibu, CA 90265-4145
Phone (310) 457-9707

Other identifiers 1

IdentifierTypeStateIssuer
0512891OtherCANABP#

Other names 1

  • dume plaza pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

29211 Heathercliff Rd
Malibu, CA 90265
Phone (310) 457-9707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1710070396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29211 HEATHERCLIFF RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654145",
            "telephone_number": "310-457-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29211 HEATHERCLIFF RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654145",
            "telephone_number": "310-457-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJNIKANT M PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJNIKANT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "310-457-9707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45225",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41309",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "0512891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dume plaza pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.