Parag R Patel, R.PH.

Individual provider Active NPI Pharmacist · Grapevine, TX

NPI 1982994539 · NPPES record last updated Aug 24, 2015

Key facts

NPI
1982994539
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
52160 (TX)
Practice address
2105 W Northwest Hwy
Grapevine, TX 76051-3001
Phone
(817) 416-2501
NPI assigned
Apr 17, 2011
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302038525MIMDPharmacist
52160TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past Accepting new patients
CVS Pharmacy Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302038525 MI
Pharmacist 183500000X 52160 TX Yes

Addresses

Primary practice location

2105 W Northwest Hwy
Grapevine, TX 76051-3001

Mailing address

2105 W Northwest Hwy
Grapevine, TX 76051-3001
Phone (817) 416-2501

Other providers in Grapevine, TX

All providers in Grapevine, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.