Active NPI
Mitansu A Patel, PHARMD.
- Pharmacist
- Fort Oglethorpe, GA
National Provider Identifier
1760876106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH027851
- Practice address
- 1228 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4008 - Phone
- (706) 861-7284
- Fax
- (706) 861-7836
- NPI assigned
- Mar 24, 2015
- Last updated
- Mar 24, 2015
- Sex
- Male
- 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 | RPH027851 | GA | Primary |
Addresses
Primary practice location
1228 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4008
Mailing address
1228 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4008
Phone (706) 861-7284
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027851 | GA | 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": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1760876106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424008",
"telephone_number": "706-861-7284",
"fax_number": "706-861-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424008",
"telephone_number": "706-861-7284",
"fax_number": "706-861-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITANSU",
"middle_name": "A",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.