Active NPI
Ram R Patel, PHARMACIST
- Pharmacist
- Raleigh, NC
National Provider Identifier
1740617018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22824
- Practice address
- 11000 Creedmoor Rd
Raleigh, NC 27614-9205 - Phone
- (919) 847-7786
- Fax
- (919) 847-7842
- NPI assigned
- Oct 2, 2013
- 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 | 22824 | NC | Primary |
Addresses
Primary practice location
11000 Creedmoor Rd
Raleigh, NC 27614-9205
Mailing address
11000 Creedmoor Rd
Raleigh, NC 27614-9205
Phone (919) 847-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920256 | Medicaid | NC |
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 |
|---|---|---|---|
| 22824 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy, L.L.C. | 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.
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
-
- Pharmacy
- Raleigh, NC
- NPI 1912174384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1740617018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11000 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149205",
"telephone_number": "919-847-7786",
"fax_number": "919-847-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149205",
"telephone_number": "919-847-7786",
"fax_number": "919-847-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAM",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0920256",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.