Active NPI
Jignesh Mukesh Patel, RPH
- Pharmacist
- Boiling Springs, SC
National Provider Identifier
1780136754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42387
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 42387 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Govinda LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Community/Retail Pharmacy
- Boiling Springs, SC
- NPI 1104458173
-
- Pharmacy
- San Angelo, TX
- NPI 1609125111
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.