Active NPI
Shivani Patel
- Pharmacist
- Texarkana, TX
National Provider Identifier
1730891201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71694
- Practice address
- 1902 Richmond Rd
Texarkana, TX 75503-2425 - Phone
- (903) 838-3988
- NPI assigned
- Dec 15, 2022
- Sex
- Female
- 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 | 71694 | TX | Primary |
Addresses
Primary practice location
1902 Richmond Rd
Texarkana, TX 75503-2425
Mailing address
2205 N Hazel St
Hope, AR 71801-2410
Phone (770) 815-7809
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 |
|---|---|---|---|
| 71694 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1730891201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 N HAZEL ST",
"city": "HOPE",
"state": "AR",
"postal_code": "718012410",
"telephone_number": "770-815-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032425",
"telephone_number": "903-838-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIVANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
- Jayendra D. Patel, M.D.
- Kunal Vijaykumar Patel, MD
- Minakshi J Patel, M.D.
- Mitesh Patel, PHARMD.
- Rajeev Jayendra Patel, M.D.
- Sunil A Patel, M.D.
- Pathology Services of Texarkana LLP
- Pathology Services of Texarkana,LLP
- Patient Support Services, Inc (Lincare)
- Patricia S. McCormick (Quality Care Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.