Active NPI
Kapil Patel, PHARMD
- Pharmacist
- Petersburg, VA
National Provider Identifier
1972107969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202215242
- Practice address
- 26317 W Washington St
Petersburg, VA 23803 - Phone
- (804) 524-7744
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202215242 | VA | Primary |
Addresses
Primary practice location
26317 W Washington St
Petersburg, VA 23803
Mailing address
10901 W Broad St
Glen Allen, VA 23060-5935
Phone (804) 935-6916
Other practice location 1
26317 Washington St
North Dinwiddie, VA 23803-2727
Phone (804) 524-7744
Other practice location 2
10901 W Broad St
Glen Allen, VA 23060-5935
Phone (804) 935-6916
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 |
|---|---|---|---|
| 0202215242 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | 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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1972107969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 W BROAD ST",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230605935",
"telephone_number": "804-935-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26317 W WASHINGTON ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23803",
"telephone_number": "804-524-7744"
}
],
"practiceLocations": [
{
"address_1": "26317 Washington St",
"address_purpose": "LOCATION",
"city": "North Dinwiddie",
"state": "VA",
"postal_code": "238032727",
"country_code": "US",
"telephone_number": "804-524-7744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10901 W Broad St",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230605935",
"country_code": "US",
"telephone_number": "804-935-6916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KAPIL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.