Bhavikkumar Dhirubhai Patel
Individual provider Active NPI Pharmacist · Sheppard, TX
NPI 1902594732 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1902594732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S026750 (AZ)
- Practice address
- 527 Tuskegee Airmen Ave
Sheppard, TX 76311 - Phone
- (940) 676-6310
- NPI assigned
- Apr 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S026750 | AZ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S026750 | AZ | Yes |
Addresses
Primary practice location
527 Tuskegee Airmen Ave
Sheppard, TX 76311
Mailing address
527 Tuskegee Airmen Ave
Sheppard Afb, TX 76311
Phone (940) 676-6310
Other providers in Sheppard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.