Individual provider Active NPI

Rakesh R Patel, R.PH.

  • Pharmacist
  • Yorkville, NY
National Provider Identifier
1750405361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038793 Issued in NY
Practice address
200 Oriskany Blvd
Yorkville, NY 13495-1330
Phone
(315) 768-3347
Fax
(315) 768-7721
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038793 NY Primary

Addresses

Primary practice location

200 Oriskany Blvd
Yorkville, NY 13495-1330

Mailing address

200 Oriskany Blvd
C O the Medicine Shoppe
Yorkville, NY 13495-1330
Phone (315) 768-3347

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
038793NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shreya RX, Inc Past Accepting new patients
RK Patel Corporation 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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750405361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORISKANY BLVD",
            "address_2": "C O THE MEDICINE SHOPPE",
            "city": "YORKVILLE",
            "state": "NY",
            "postal_code": "134951330",
            "telephone_number": "315-768-3347",
            "fax_number": "315-768-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORISKANY BLVD",
            "city": "YORKVILLE",
            "state": "NY",
            "postal_code": "134951330",
            "telephone_number": "315-768-3347",
            "fax_number": "315-768-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAKESH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.