Active NPI
Keyur J Patel
- Pharmacist
- Appleton, WI
National Provider Identifier
1902685795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22317-40
- Practice address
- 729 W Northland Ave
Appleton, WI 54914-1426 - Phone
- (920) 954-8100
- NPI assigned
- Sep 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22317-40 | WI | Primary |
Addresses
Primary practice location
729 W Northland Ave
Appleton, WI 54914-1426
Mailing address
207 E Castlebury LN
Appleton, WI 54913-6328
Phone (920) 931-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22317-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
729 W Northland Ave
Appleton, WI 54914
Phone (920) 954-8100
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1902685795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E CASTLEBURY LN",
"city": "APPLETON",
"state": "WI",
"postal_code": "549136328",
"telephone_number": "920-931-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 W NORTHLAND AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141426",
"telephone_number": "920-954-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KEYUR",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22317-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.