Active NPI
Pratima Sanjay Patel, RPH
- Pharmacist
- Marietta, GA
National Provider Identifier
1770868044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023568
- Practice address
- 1733 Macland Rd SW
Marietta, GA 30064-4109 - Phone
- (678) 556-0673
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- 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 | RPH023568 | GA | Primary |
Addresses
Primary practice location
1733 Macland Rd SW
Marietta, GA 30064-4109
Mailing address
2390 S Cobb Dr SE
Smyrna, GA 30080-1359
Phone (678) 556-0673
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH023568 | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1770868044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801359",
"telephone_number": "678-556-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 MACLAND RD SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644109",
"telephone_number": "678-556-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIMA",
"middle_name": "SANJAY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.