Shyam Dharmendrakumar Patel

Primary specialty

PharmacistTaxonomy code 183500000X

License

72183 Issued in TX

Practice address

10407 Burmaster LN Unit a
Austin, TX 78750-2023

Phone

(516) 806-9014

NPI assigned

May 31, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MPN2 Pharmacy MGT LLC

  • Pharmacy
  • Lakeway, TX
  • NPI 1710503164
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1881387397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RANCH ROAD 620 S STE 500",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385654",
            "telephone_number": "512-270-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 BURMASTER LN UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502023",
            "telephone_number": "516-806-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHYAM",
        "middle_name": "DHARMENDRAKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "72183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheevum Patel, PHARMD
• Sheila B. Patel, DO
• Shivani Patel, MD
• Shivani Bakul Patel, PA-C
• Shreya Patel, PA-C
• Simini Patel, RPH
• Simone Patel, PA-C
• Simran Patel
• Sital Patel, DO
• Sneha Jagadish Patel, D.O.

• Pharmacist in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.