Active NPI
Nikunj Patel, PHARM.D.
- Pharmacist
- Newnan, GA
National Provider Identifier
1790385722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022541
- Practice address
- 931 Lower Fayetteville Rd Ste K
Newnan, GA 30263-5790 - Phone
- (770) 502-7055
- NPI assigned
- Oct 28, 2020
- 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 | RPH022541 | GA | Primary |
Addresses
Primary practice location
931 Lower Fayetteville Rd Ste K
Newnan, GA 30263-5790
Mailing address
129 Snow Bird Dr
Hampton, GA 30228-3527
Phone (478) 290-8897
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022541 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1790385722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SNOW BIRD DR",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302283527",
"telephone_number": "478-290-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 LOWER FAYETTEVILLE RD STE K",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302635790",
"telephone_number": "770-502-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIKUNJ",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.