Individual provider Active NPI

Maulik Patel

  • Pharmacist
  • Paola, KS
National Provider Identifier
1730673401
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-15707 Issued in KS
Practice address
Walmart Pharmacy
310 Hedge Lane
Paola, KS 66071
Phone
(913) 294-5777
Fax
(913) 294-0815
NPI assigned
Jun 18, 2018
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-15707 KS Primary

Addresses

Primary practice location

Walmart Pharmacy
310 Hedge Lane
Paola, KS 66071

Mailing address

Walmart Pharmacy
310 Hedge Lane
Paola, KS 66071
Phone (913) 294-5777

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

LicenseStateTypeSpecialty
1-15707KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1730673401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALMART PHARMACY",
            "address_2": "310 HEDGE LANE",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "66071",
            "telephone_number": "913-294-5777",
            "fax_number": "913-294-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALMART PHARMACY",
            "address_2": "310 HEDGE LANE",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "66071",
            "telephone_number": "913-294-5777",
            "fax_number": "913-294-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAULIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.