Active NPI
Bhavi Patel
- Pharmacist
- Memphis, TN
National Provider Identifier
1831827864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E100801
- Practice address
- 4154 Elvis Presley Blvd
Memphis, TN 38116-5811 - Phone
- (901) 396-6233
- Fax
- (901) 396-1183
- NPI assigned
- Aug 9, 2022
- Last updated
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46538 | TN | |
| Pharmacist | 183500000X | PD16282 | AR | |
| Pharmacist | 183500000X | E100801 | MS | Primary |
Addresses
Primary practice location
4154 Elvis Presley Blvd
Memphis, TN 38116-5811
Mailing address
4154 Elvis Presley Blvd
Memphis, TN 38116-5811
Phone (901) 396-6233
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na | WALGREEN CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD16282 | AR | MD | Pharmacist |
| E100801 | MS | MD | Pharmacist |
| 46538 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1831827864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4154 ELVIS PRESLEY BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381165811",
"telephone_number": "901-396-6233",
"fax_number": "901-396-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4154 ELVIS PRESLEY BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381165811",
"telephone_number": "901-396-6233",
"fax_number": "901-396-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHAVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "46538",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16282",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E100801",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "na",
"affiliation": "Y",
"endpointDescription": "walgreens",
"affiliationName": "WALGREEN CO",
"address_1": "4154 Elvis Presley Blvd",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381165811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.