Active NPI
Amitkumar Kantilal Patel
- Pharmacist
- Acworth, GA
National Provider Identifier
1942583059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039247
- Practice address
- 4391 Acworth Dallas Rd NW
Acworth, GA 30101-4334 - Phone
- (770) 370-2235
- NPI assigned
- Sep 25, 2011
- Last updated
- Dec 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302039247 | MI | Primary |
Addresses
Primary practice location
4391 Acworth Dallas Rd NW
Acworth, GA 30101-4334
Mailing address
4432 Lippencott LN
Acworth, GA 30101-3639
Phone (248) 925-0349
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 |
|---|---|---|---|
| 5302039247 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1942583059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4432 LIPPENCOTT LN",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301013639",
"telephone_number": "248-925-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4391 ACWORTH DALLAS RD NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014334",
"telephone_number": "770-370-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMITKUMAR",
"middle_name": "KANTILAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-25",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.