Active NPI
Brian Elliot Patel, R. PH.
- Pharmacist
- Wpafb, OH
National Provider Identifier
1720175789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-2-22908
- Practice address
- 4881 Sugar Maple Dr
Wpafb, OH 45433-5546 - Phone
- (937) 257-6697
- NPI assigned
- Oct 9, 2006
- 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 | 03-2-22908 | OH | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5546
Mailing address
366 Countryside Dr N
Troy, OH 45373-4574
Phone (937) 440-1690
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720175789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 COUNTRYSIDE DR N",
"city": "TROY",
"state": "OH",
"postal_code": "453734574",
"telephone_number": "937-440-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "WPAFB",
"state": "OH",
"postal_code": "454335546",
"telephone_number": "937-257-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BRIAN",
"middle_name": "ELLIOT",
"name_prefix": "Mr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-22908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wpafb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.