Active NPI
Sandeep Patel
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1770878316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20860
- Practice address
- 5471 University Pkwy
Winston Salem, NC 27105-1374 - Phone
- (336) 744-2321
- NPI assigned
- Jun 11, 2011
- Last updated
- Jun 11, 2011
- 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 | 20860 | NC | Primary |
Addresses
Primary practice location
5471 University Pkwy
Winston Salem, NC 27105-1374
Mailing address
1031 Braehill Terrace Dr
Winston Salem, NC 27104-5341
Phone (252) 646-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03457777 | Medicaid | NC |
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 |
|---|---|---|---|
| 20860 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307750400000",
"number": "1770878316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 BRAEHILL TERRACE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271045341",
"telephone_number": "252-646-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471 UNIVERSITY PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271051374",
"telephone_number": "336-744-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SANDEEP",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-11",
"last_updated": "2011-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03457777",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.