Organization Active NPI

Patel Pharmacy Clinic Corp

Doing business as Patel Pharmacy Clinic

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1912649856
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PATEL PHARMACY CLINIC CORP
Doing business as
Patel Pharmacy Clinic
Practice address
455 Oconnor Dr Ste 190
San Jose, CA 95128-1632
Phone
(408) 298-6198
Fax
(408) 271-1368
NPI assigned
Apr 11, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Jwalant Patel, PHARMDNPI 1649459447
Title
Owner
Phone
(408) 298-6198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 190
San Jose, CA 95128-1632

Mailing address

455 Oconnor Dr Ste 190
San Jose, CA 95128-1632
Phone (408) 298-6198

Other names 1

  • Patel Pharmacy Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1912649856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 190",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-298-6198",
            "fax_number": "408-271-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 190",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-298-6198",
            "fax_number": "408-271-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL PHARMACY CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JWALANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-298-6198",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patel Pharmacy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patel Pharmacy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.