Individual provider Active NPI

Amisha Patel, PHARM.D.

  • Pharmacist
  • Woodinville, WA
National Provider Identifier
1780971580
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00041611 Issued in WA
Practice address
13950 NE 178TH PL
Woodinville, WA 98072-3523
Phone
(425) 492-1820
Fax
(425) 492-1897
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00041611 WA Primary

Addresses

Primary practice location

13950 NE 178TH PL
Woodinville, WA 98072-3523

Mailing address

13950 NE 178TH PL
Woodinville, WA 98072-3523
Phone (425) 492-1820

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

LicenseStateTypeSpecialty
PH00041611WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington CVS Pharmacy LLC Past Accepting new patients
Washington CVS Pharmacy LLC 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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1780971580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 NE 178TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723523",
            "telephone_number": "425-492-1820",
            "fax_number": "425-492-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 NE 178TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723523",
            "telephone_number": "425-492-1820",
            "fax_number": "425-492-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMISHA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00041611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.