Active NPI
Mitesh Patel, PHARMD.
- Pharmacist
- Texarkana, TX
National Provider Identifier
1912503608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63938
- Practice address
- 1901 Richmond Rd
Texarkana, TX 75503-2424 - Phone
- (903) 255-0316
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14619 | AR | |
| Pharmacist | 183500000X | 63938 | TX | Primary |
Addresses
Primary practice location
1901 Richmond Rd
Texarkana, TX 75503-2424
Mailing address
15 Oneida Cir
Maumelle, AR 72113-5877
Phone (501) 960-5494
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RXConnect |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63938 | TX | MD | Professional Counselor |
| PD14619 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, 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": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1912503608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ONEIDA CIR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721135877",
"telephone_number": "501-960-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032424",
"telephone_number": "903-255-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITESH",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14619",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63938",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RXConnect",
"affiliation": "N",
"endpointDescription": "The software we use to securely keep PHI and communicate with other health care providers.",
"address_1": "1901 Richmond Rd",
"city": "Texarkana",
"state": "TX",
"country_code": "US",
"postal_code": "755032424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.