Active NPI
Vidya Darshan Patel
- Pharmacist
- Carrollton, GA
National Provider Identifier
1942804109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032197
- Practice address
- 318 Columbia Dr Apt 304
Carrollton, GA 30117-2047 - Phone
- (215) 917-0375
- NPI assigned
- Nov 27, 2020
- Last updated
- Nov 27, 2020
- Sex
- Female
- 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 | RP442027 | PA | |
| Pharmacist | 183500000X | RPH032197 | GA | Primary |
Addresses
Primary practice location
318 Columbia Dr Apt 304
Carrollton, GA 30117-2047
Mailing address
318 Columbia Dr Apt 304
Carrollton, GA 30117-2047
Phone (215) 917-0375
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 |
|---|---|---|---|
| RPH032197 | GA | MD | Pharmacist |
| RP442027 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1942804109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 COLUMBIA DR APT 304",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172047",
"telephone_number": "215-917-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 COLUMBIA DR APT 304",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172047",
"telephone_number": "215-917-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VIDYA",
"middle_name": "DARSHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442027",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, GA
- Payal Patel
- Radha Patel
- Rema Patel, PHARMD
- Sagar Mangu Patel, D.O.
- Vanisha Patel
- Yesha Patel, DO
- Pathways Center for Behavioral & Developmental Growth
- Pathways Center for Behavioral & Developmental Growth
- Pathways Center for Behavioral & Developmental Growth
- Pathways Center for Behavioral and Developmental Growth
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.