Chirag Patel, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054021252 Issued in IL

Practice address

3021 Falling Waters Blvd Ste B
Lindenhurst, IL 60046-6745

Phone

(847) 346-9958

NPI assigned

Nov 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Crystal Lake Pharmacy Inc

  • Community/Retail Pharmacy
  • Crystal Lake, IL
  • NPI 1568241560
  NPD Authorized official
• Doctors RX, Inc.

  • Pharmacist
  • Lindenhurst, IL
  • NPI 1992341051
  NPD Authorized official
• Greenleaf Pharmacy Inc

  • Community/Retail Pharmacy
  • Park City, IL
  • NPI 1043997364
  NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1720622699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 E FOREST AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181451",
            "telephone_number": "847-346-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FALLING WATERS BLVD STE B",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466745",
            "telephone_number": "847-346-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHIRAG",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054021252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "054021252",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyn M Olszak
• Nicole Owen, RBT
• Carolyn B Padden, OTR/L
• Nancy Ann Paliga, COTA
• Benjamin Parker
• Julia Patton, OT
• John Robert Payant, D.D.S
• Peter Chung Dental DMD LTD
• Ashok B Phadke, M.D.
• Kristin Pieters

• Community/Retail Pharmacy in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.