Active NPI
Dharaben Patel
- Pharmacist
- Brownstown TWP, MI
National Provider Identifier
1710534854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302046428
- Practice address
- 23800 West Rd
Brownstown TWP, MI 48183-3179 - Phone
- (734) 692-4230
- NPI assigned
- Aug 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025752A | IN | |
| Pharmacist | 183500000X | 5302046428 | MI | Primary |
Addresses
Primary practice location
23800 West Rd
Brownstown TWP, MI 48183-3179
Mailing address
23800 West Rd
Brownstown TWP, MI 48183-3179
Phone (734) 692-4230
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 |
|---|---|---|---|
| 26025752A | IN | MD | Pharmacist |
| 5302046428 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients | |
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Allen Park, MI
- NPI 1790897650
-
- Pharmacy
- Brownstown TWP, MI
- NPI 1811009764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1710534854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23800 WEST RD",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481833179",
"telephone_number": "734-692-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 WEST RD",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481833179",
"telephone_number": "734-692-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHARABEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025752A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302046428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownstown TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.