Active NPI
Tejash Patel
- Pharmacist
- Owosso, MI
National Provider Identifier
1861850133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038608
- Practice address
- 1621 E M 21
Owosso, MI 48867-9053 - Phone
- (989) 723-2656
- NPI assigned
- Feb 2, 2016
- 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 | 5302038608 | MI | Primary |
Addresses
Primary practice location
1621 E M 21
Owosso, MI 48867-9053
Mailing address
4806 Nassau St
Okemos, MI 48864-1274
Phone (989) 723-2656
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 |
|---|---|---|---|
| 5302038608 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1861850133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4806 NASSAU ST",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641274",
"telephone_number": "989-723-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 E M 21",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679053",
"telephone_number": "989-723-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TEJASH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.