Vishal Patel, PHARMD

Individual provider Active NPI Pharmacist · Stafford Springs, CT

NPI 1871992073 · NPPES record last updated Aug 14, 2014

Key facts

NPI
1871992073
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PCT.0013087 (CT)
Practice address
88 W Stafford Rd
Stafford Springs, CT 06076-1067
Phone
(860) 684-9555
NPI assigned
Aug 14, 2014
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PCT.0013087CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Falmouth Pharma LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0013087 CT Yes

Addresses

Primary practice location

88 W Stafford Rd
Stafford Springs, CT 06076-1067

Mailing address

4 Tannery Rd
Fiskdale, MA 01518-1171
Phone (508) 735-7176

Other providers in Stafford Springs, CT

All providers in Stafford Springs, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.