Active NPI
Jitendrakumar Patel
- Pharmacist
- Dowagiac, MI
National Provider Identifier
1720734213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042943
- Practice address
- 124 S Front St
Dowagiac, MI 49047-1737 - Phone
- (269) 462-9194
- NPI assigned
- Feb 23, 2022
- Last updated
- Feb 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302042943 | MI | Primary |
Addresses
Primary practice location
124 S Front St
Dowagiac, MI 49047-1737
Mailing address
6318 Independence Dr
Portage, MI 49024-2699
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 |
|---|---|---|---|
| 5302042943 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ram Drugs LLC | Current | Accepting new patients | |
| Jai Chamunda Dowagiac LLC | Current | Accepting new patients |
Locations
124 S Front St
Dowagiac, MI 49047
Phone (269) 462-9194
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Dowagiac, MI
- NPI 1932745791
-
- Community/Retail Pharmacy
- Dowagiac, MI
- NPI 1689307597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1720734213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 INDEPENDENCE DR",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490242699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S FRONT ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471737",
"telephone_number": "269-462-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JITENDRAKUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dowagiac, MI
- Gregory N Otto, PT
- Sangeeta Pal, MD
- Marcy Parisi, NP
- Nancy Joan Patano, R.N.
- Jashubhai N Patel, M.D.
- Nadzieja Nicole Pocheki, FNP-BC
- Pokagon Band of Potawatomi Indians (Pokagon Health Services)
- Pokagon Band of Potawatomi Indians (Pokagon Health Service)
- Pokagon Band of Potawatomi Indians (Pokagon Band Health Services Pharmacy)
- Bertha Naomi Prahoveanu, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.