Active NPI
Ekta Rupin Patel, RPH
- Pharmacist
- Macon, GA
National Provider Identifier
1821373606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023170
- Practice address
- 2495 Pio Nono Ave
Macon, GA 31206-2829 - Phone
- (478) 784-9747
- NPI assigned
- Oct 12, 2011
- Last updated
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | RPH023170 | GA | Primary |
Addresses
Primary practice location
2495 Pio Nono Ave
Macon, GA 31206-2829
Mailing address
521 Lokchapee Dr
Macon, GA 31210-4211
Phone (478) 320-0412
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 |
|---|---|---|---|
| RPH023170 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1821373606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LOKCHAPEE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312104211",
"telephone_number": "478-320-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 PIO NONO AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312062829",
"telephone_number": "478-784-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "EKTA",
"middle_name": "RUPIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.