Active NPI
Jenish Manubhai Patel
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lebanon, IN
National Provider Identifier
1750994000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 26028925A
- Practice address
- 2420 N Lebanon St
Lebanon, IN 46052-1183 - Phone
- (765) 482-7095
- NPI assigned
- Aug 26, 2020
- Last updated
- May 14, 2026
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26028925A | IN | Primary |
Addresses
Primary practice location
2420 N Lebanon St
Lebanon, IN 46052-1183
Mailing address
2650 Wabash Ave
Terre Haute, IN 47803-1508
Phone (812) 235-7326
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 |
|---|---|---|---|
| 26028925A | IN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Current | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Locations
2650 Wabash Ave
Terre Haute, IN 47803
Phone (812) 232-7326
Organizations & group practices 3
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.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Terre Haute, IN
- NPI 1811060338
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Lebanon, IN
- NPI 1114090735
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1750994000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478031508",
"telephone_number": "812-235-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521183",
"telephone_number": "765-482-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JENISH",
"middle_name": "MANUBHAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-26",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IN",
"license": "26028925A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.