Individual provider Active NPI

Kalpeshkumar Rameshbhai Patel, PHARMACIST

  • Pharmacist
  • East Ridge, TN
National Provider Identifier
1881971752
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34905 Issued in TN
Practice address
3984 Ringgold Rd
East Ridge, TN 37412-1659
Phone
(423) 629-0091
Fax
(423) 629-0534
NPI assigned
Nov 7, 2011
Last updated
Nov 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 34905 TN Primary

Addresses

Primary practice location

3984 Ringgold Rd
East Ridge, TN 37412-1659

Mailing address

1848 Clear Brook CT
Chattanooga, TN 37421-2783
Phone (423) 505-7584

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

LicenseStateTypeSpecialty
34905TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Khodiyar Health LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1881971752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 CLEAR BROOK CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212783",
            "telephone_number": "423-505-7584",
            "fax_number": "423-629-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3984 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374121659",
            "telephone_number": "423-629-0091",
            "fax_number": "423-629-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KALPESHKUMAR",
        "middle_name": "RAMESHBHAI",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "34905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.