Active NPI
Bharatkumar Ambalal Patel, PHD,RPH
- Pharmacist
- Hicksville, NY
National Provider Identifier
1710158977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039174
- Practice address
- 430 Jerusalem Ave
Rite Aid Pharmacy
Hicksville, NY 11801 - Phone
- (516) 937-7500
- NPI assigned
- Mar 17, 2008
- 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 | 039174 | NY | Primary |
Addresses
Primary practice location
430 Jerusalem Ave
Rite Aid Pharmacy
Hicksville, NY 11801
Mailing address
430 Jerusalem Ave
Rite Aid Pharmacy
Hicksville, NY 11801
Phone (516) 937-7500
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039174 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genovese Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Hicksville, NY
- NPI 1487753737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1710158977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 JERUSALEM AVE",
"address_2": "RITE AID PHARMACY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-937-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 JERUSALEM AVE",
"address_2": "RITE AID PHARMACY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-937-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHARATKUMAR",
"middle_name": "AMBALAL",
"name_prefix": "Dr.",
"credential": "PHD,RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.