Umang B Patel, PHARMACIST

Individual provider Active NPI Pharmacist · Sylvania, GA

NPI 1871149971 · NPPES record last updated Aug 14, 2019

Key facts

NPI
1871149971
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH030588 (GA)
Practice address
305 W Ogeechee St
Sylvania, GA 30467-1985
Phone
(912) 564-2668
NPI assigned
Aug 14, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH030588GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Physical Therapy LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH030588 GA Yes

Addresses

Primary practice location

305 W Ogeechee St
Sylvania, GA 30467-1985

Mailing address

306 Holly Rd
Sylvania, GA 30467-8699
Phone (843) 288-9440

Other providers in Sylvania, GA

All providers in Sylvania, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.