Active NPI
Miren Patel
- Pharmacist
- League City, TX
National Provider Identifier
1750755724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55756
- Practice address
- 4902 W Main St
League City, TX 77573-1691 - Phone
- (281) 316-7625
- NPI assigned
- Nov 13, 2015
- Last updated
- Nov 13, 2015
- 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 | 55756 | TX | Primary |
Addresses
Primary practice location
4902 W Main St
League City, TX 77573-1691
Mailing address
4902 W Main St
League City, TX 77573-1691
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 |
|---|---|---|---|
| 55756 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1750755724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 W MAIN ST",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775731691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 W MAIN ST",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775731691",
"telephone_number": "281-316-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MIREN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
- Wentong Pan, M.D.
- Ernesto Rafael Parets, SURGICAL ASSISTANT
- Parkside Kids Clinic of League City, PLLC
- Glen Dean Partin, PTA
- Deina Vaibhav Patel, PHARMD
- Pathtohope Wellness and Behavioral Health LLC
- Brent E Patterson, D.D.S.
- Mary Lou Patterson, RNFA
- Ashley Nickole Patton, DDS
- Jimmy Don Patton, RN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.