Active NPI
Vaidahi Patel
- Pharmacist
- King City, OR
National Provider Identifier
1982029211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0015270
- Practice address
- 15570 SW Pacific Hwy
King City, OR 97224-3522 - Phone
- (503) 598-6009
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 70029 | CA | |
| Pharmacist | 183500000X | 0015270 | OR | Primary |
Addresses
Primary practice location
15570 SW Pacific Hwy
King City, OR 97224-3522
Mailing address
15570 SW Pacific Hwy
King City, OR 97224-3522
Phone (503) 598-6009
Other practice location 1
1241 W Foothill Blvd
Upland, CA 91786-3681
Phone (909) 985-2713
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 |
|---|---|---|---|
| 70029 | CA | MD | Social Worker |
| 0015270 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1033148077
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604188800000",
"number": "1982029211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15570 SW PACIFIC HWY",
"city": "KING CITY",
"state": "OR",
"postal_code": "972243522",
"telephone_number": "503-598-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15570 SW PACIFIC HWY",
"city": "KING CITY",
"state": "OR",
"postal_code": "972243522",
"telephone_number": "503-598-6009"
}
],
"practiceLocations": [
{
"address_1": "1241 W Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917863681",
"country_code": "US",
"telephone_number": "909-985-2713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "VAIDAHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2020-11-01",
"certification_date": "2020-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70029",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0015270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.