Individual provider Active NPI

Hetal J Patel, RPH

  • Pharmacist
  • South Burlington, VT
National Provider Identifier
1912343963
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0003743 Issued in VT
Practice address
6 Olde Orchard Park
Apt 617
South Burlington, VT 05403-6968
Phone
(810) 730-6828
Fax
(802) 864-6080
NPI assigned
May 17, 2013
Last updated
May 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033.0003743 VT Primary
Pharmacist 183500000X 5302035457 MI

Addresses

Primary practice location

6 Olde Orchard Park
Apt 617
South Burlington, VT 05403-6968

Mailing address

6 Olde Orchard Park
Apt 617
South Burlington, VT 05403-6968
Phone (810) 730-6828

Other identifiers 2

IdentifierTypeStateIssuer
033.0003743OtherVTVERMONT BOARD OF PHARMACY PHARMACIST LICENSE NO.
5302035457OtherMIMICHIGAN BOARD OF PHARMACY PHARMACIST LICENSE NO.

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302035457MIMDPharmacist
033.0003743VTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1912343963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLDE ORCHARD PARK",
            "address_2": "APT 617",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036968",
            "telephone_number": "810-730-6828",
            "fax_number": "802-864-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLDE ORCHARD PARK",
            "address_2": "APT 617",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036968",
            "telephone_number": "810-730-6828",
            "fax_number": "802-864-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HETAL",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003743",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT BOARD OF PHARMACY PHARMACIST LICENSE NO.",
            "identifier": "033.0003743",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF PHARMACY PHARMACIST LICENSE NO.",
            "identifier": "5302035457",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.