Individual provider Active NPI

Hasamukh Fulabhai Patel

  • Pharmacist
  • Olympia Fields, IL
National Provider Identifier
1962977348
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051031309 Issued in IL
Practice address
3800 W 203Rd St Ste 108
Olympia Fields, IL 60461-1184
Phone
(708) 747-7283
Fax
(708) 503-2372
NPI assigned
Oct 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051031309 IL Primary
Pharmacist 183500000X 051-031309 IL

Addresses

Primary practice location

3800 W 203Rd St Ste 108
Olympia Fields, IL 60461-1184

Mailing address

3800 W 203Rd St Ste 108
Olympia Fields, IL 60461-1184
Phone (708) 747-7283

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

LicenseStateTypeSpecialty
051-031309ILMDPharmacist
051031309ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1962977348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST STE 108",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611184",
            "telephone_number": "708-747-7283",
            "fax_number": "708-503-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST STE 108",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611184",
            "telephone_number": "708-747-7283",
            "fax_number": "708-503-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HASAMUKH",
        "middle_name": "FULABHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051031309",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-031309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.