Active NPI
Jalak C Patel, RPH
- Pharmacist
- Muskegon, MI
National Provider Identifier
1982438537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302416714
- Practice address
- 2010 E Apple Ave
Muskegon, MI 49442-4348 - Phone
- (616) 304-0524
- NPI assigned
- Aug 27, 2024
- Last updated
- Aug 29, 2024
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302416714 | MI | |
| Pharmacist | 183500000X | 5302416714 | MI | Primary |
Addresses
Primary practice location
2010 E Apple Ave
Muskegon, MI 49442-4348
Mailing address
2010 E Apple Ave
Muskegon, MI 49442-4348
Phone (616) 304-0524
Other practice location 1
13428 Red Leaf Ct
Nunica, MI 49448-9325
Phone (616) 304-0524
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302416714 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1982438537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 E APPLE AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494424348",
"telephone_number": "616-304-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 E APPLE AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494424348",
"telephone_number": "616-304-0524"
}
],
"practiceLocations": [
{
"address_1": "13428 Red Leaf Ct",
"address_purpose": "LOCATION",
"city": "Nunica",
"state": "MI",
"postal_code": "494489325",
"country_code": "US",
"telephone_number": "616-304-0524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JALAK",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302416714",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302416714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.