Individual provider Active NPI

Jignesh Mukesh Patel, RPH

  • Pharmacist
  • Boiling Springs, SC
National Provider Identifier
1780136754
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42387 Issued in SC
Practice address
2528 Boiling Springs Rd Ste D
Boiling Springs, SC 29316-5361
Phone
(732) 331-2250
Fax
(864) 515-2600
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59736 TX
Pharmacist 183500000X 42387 SC Primary

Addresses

Primary practice location

2528 Boiling Springs Rd Ste D
Boiling Springs, SC 29316-5361

Mailing address

2528 Boiling Springs Rd Ste D
Boiling Springs, SC 29316-5361
Phone (732) 331-2250

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

LicenseStateTypeSpecialty
42387SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Govinda LLC CurrentSince Mar 22, 2020 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Apr 10, 2022 Accepting new patients

Locations

2528 Boiling Springs Rd
Ste D
Boiling Springs, SC 29316
Phone (864) 515-2600

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1780136754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 BOILING SPRINGS RD STE D",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165361",
            "telephone_number": "732-331-2250",
            "fax_number": "864-256-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 BOILING SPRINGS RD STE D",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165361",
            "telephone_number": "732-331-2250",
            "fax_number": "864-515-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIGNESH",
        "middle_name": "MUKESH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59736",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.