Active NPI
Chandrakant Shivarambhai Patel, PHARMACIST
- Pharmacist
- Shelton, WA
National Provider Identifier
1871867648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 60066304
- Practice address
- 301 E Wallace Kneeland Blvd
Shelton, WA 98584-2985 - Phone
- (360) 432-5373
- NPI assigned
- Feb 26, 2012
- 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 | PH 60066304 | WA | Primary |
Addresses
Primary practice location
301 E Wallace Kneeland Blvd
Shelton, WA 98584-2985
Mailing address
2855 Tuscany LN SW
Apt # 321
Tumwater, WA 98512-7873
Phone (360) 489-9603
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 |
|---|---|---|---|
| PH 60066304 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330214400000",
"number": "1871867648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 TUSCANY LN SW",
"address_2": "APT # 321",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985127873",
"telephone_number": "360-489-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WALLACE KNEELAND BLVD",
"city": "SHELTON",
"state": "WA",
"postal_code": "985842985",
"telephone_number": "360-432-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHANDRAKANT",
"middle_name": "SHIVARAMBHAI",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-26",
"last_updated": "2012-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 60066304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.