Active NPI
Hitesh Patel
- Pharmacist
- Warren, MI
National Provider Identifier
1982475240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038125
- Practice address
- 11460 E 12 Mile Rd
Warren, MI 48093-2631 - Phone
- (586) 722-2842
- NPI assigned
- Jan 15, 2024
- Last updated
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 5302038125 | MI | Primary |
Addresses
Primary practice location
11460 E 12 Mile Rd
Warren, MI 48093-2631
Mailing address
4685 Scotch Pine Dr
Troy, MI 48085-3501
Phone (586) 258-9705
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 |
|---|---|---|---|
| 5302038125 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajc Enterprises Inc | Past | Accepting new patients | |
| Annaom 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, 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": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1982475240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 SCOTCH PINE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480853501",
"telephone_number": "586-258-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11460 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480932631",
"telephone_number": "586-722-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HITESH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.