Active NPI
Shiv Patel, PHARMD
- Pharmacist
- Bedford, MA
National Provider Identifier
1831630615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH235960
- Practice address
- 200 Springs Rd
Bedford, MA 01730-1114 - Phone
- (978) 430-9315
- NPI assigned
- Mar 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH235960 | MA | Primary |
| Pharmacist | 183500000X | 4068 | NH |
Addresses
Primary practice location
200 Springs Rd
Bedford, MA 01730-1114
Mailing address
90 Germano Dr
Tewksbury, MA 01876-4900
Phone (978) 430-9315
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 |
|---|---|---|---|
| PH235960 | MA | MD | Pharmacist |
| 4068 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1831630615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 GERMANO DR",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018764900",
"telephone_number": "978-430-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SPRINGS RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301114",
"telephone_number": "978-430-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIV",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235960",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "4068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.