Active NPI
Deval Patel, PHARM D
- Pharmacist
- Chicago, IL
National Provider Identifier
1770863359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-1291304
- Practice address
- 4748 W North Ave
Chicago, IL 60639-4640 - Phone
- (773) 745-6642
- Fax
- (773) 745-7350
- NPI assigned
- Aug 26, 2011
- 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 | 051-1291304 | IL | Primary |
Addresses
Primary practice location
4748 W North Ave
Chicago, IL 60639-4640
Mailing address
4748 W North Ave
Chicago, IL 60639-4640
Phone (773) 745-6642
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 |
|---|---|---|---|
| 051-1291304 | IL | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1770863359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4748 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394640",
"telephone_number": "773-745-6642",
"fax_number": "773-745-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4748 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394640",
"telephone_number": "773-745-6642",
"fax_number": "773-745-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEVAL",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-1291304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.