Active NPI
Kautilya R Patel, PHARM D
- Pharmacist
- Livonia, MI
National Provider Identifier
1851685770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032615
- Practice address
- 29451 Plymouth Rd
Livonia, MI 48150-2112 - Phone
- (734) 793-0638
- Fax
- (734) 793-0648
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- 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 | 5302032615 | MI | Primary |
Addresses
Primary practice location
29451 Plymouth Rd
Livonia, MI 48150-2112
Mailing address
25925 Michigan Ave
Inkster, MI 48141-2497
Phone (313) 516-1777
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 |
|---|---|---|---|
| 5302032615 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1851685770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25925 MICHIGAN AVE",
"city": "INKSTER",
"state": "MI",
"postal_code": "481412497",
"telephone_number": "313-516-1777",
"fax_number": "734-793-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29451 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502112",
"telephone_number": "734-793-0638",
"fax_number": "734-793-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KAUTILYA",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.