Individual provider Active NPI

Niketa R. Patel, PHARMD

  • Pharmacist
  • Durham, NC
National Provider Identifier
1710600739
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31113 Issued in NC
Practice address
100 Village Circle Way Apt 924
Durham, NC 27713-6137
Phone
(336) 880-9524
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31113 NC Primary

Addresses

Primary practice location

100 Village Circle Way Apt 924
Durham, NC 27713-6137

Mailing address

100 Village Circle Way Apt 924
Durham, NC 27713-6137
Phone (336) 880-9524

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s000pfl017@harristeeter.com

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 Pharmacy

State licenses

LicenseStateTypeSpecialty
31113NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1710600739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE CIRCLE WAY APT 924",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136137",
            "telephone_number": "336-880-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE CIRCLE WAY APT 924",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136137",
            "telephone_number": "336-880-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIKETA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s000pfl017@harristeeter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "100 Village Circle Way Apt 924",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277136137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.