Active NPI
Ketan Pravinbhai Patel, PHARM.D.
- Pharmacist
- Marietta, GA
National Provider Identifier
1861869604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028799
- Practice address
- 1401 Johnson Ferry Rd
Marietta, GA 30062-6495 - Phone
- (770) 240-0006
- NPI assigned
- Aug 27, 2015
- 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 | RPH028799 | GA | Primary |
Addresses
Primary practice location
1401 Johnson Ferry Rd
Marietta, GA 30062-6495
Mailing address
121 Settlers Point Dr
Guyton, GA 31312-6596
Phone (843) 415-2032
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 |
|---|---|---|---|
| RPH028799 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1861869604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SETTLERS POINT DR",
"city": "GUYTON",
"state": "GA",
"postal_code": "313126596",
"telephone_number": "843-415-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626495",
"telephone_number": "770-240-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KETAN",
"middle_name": "PRAVINBHAI",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.