Individual provider Active NPI

Manan Patel

  • Pharmacist
  • Horsham, PA
National Provider Identifier
1902155849
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0004307 Issued in DE
Practice address
575 Horsham Rd Unit C20
Horsham, PA 19044-0137
Phone
(215) 674-5050
Fax
(215) 957-5874
NPI assigned
Sep 6, 2012
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0004307 DE Primary

Addresses

Primary practice location

575 Horsham Rd Unit C20
Horsham, PA 19044-0137

Mailing address

1068 Essex Dr
Bensalem, PA 19020-4263
Phone (215) 908-1198

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
A1-0004307DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maruti RX LLC CurrentSince Jul 28, 2024 Accepting new patients
Maruti RX LLC CurrentSince Jul 28, 2024 Accepting new patients
Walgreen Co. PastSince Mar 27, 2022 Accepting new patients

Locations

575 Horsham Rd
Unit C20
Horsham, PA 19044
Phone (215) 674-5050

Organizations & group practices 3

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1902155849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 ESSEX DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204263",
            "telephone_number": "215-908-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HORSHAM RD UNIT C20",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190440137",
            "telephone_number": "215-674-5050",
            "fax_number": "215-957-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0004307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.