Active NPI
Ambrish Patel, PHARMD
- Pharmacist
- Frederick, MD
National Provider Identifier
1992115588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24518
- Practice address
- 190 Thomas Johnson Dr Ste 3
Frederick, MD 21702-4879 - Phone
- (240) 422-8433
- Fax
- (301) 662-0001
- NPI assigned
- May 5, 2014
- Last updated
- Sep 25, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00007752 | NM | |
| Pharmacist | 183500000X | 50775 | TX | |
| Pharmacist | 183500000X | 24518 | MD | Primary |
Addresses
Primary practice location
190 Thomas Johnson Dr Ste 3
Frederick, MD 21702-4879
Mailing address
1205 E Pine St
Kmart Pharnacy
Deming, NM 88030-7038
Phone (575) 544-9008
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 |
|---|---|---|---|
| 24518 | MD | MD | Pharmacist |
| RP00007752 | NM | MD | Pharmacist |
| 50775 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sahajanand LLC | 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.
-
- Community/Retail Pharmacy
- Deming, NM
- NPI 1104236843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1992115588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 E PINE ST",
"address_2": "KMART PHARNACY",
"city": "DEMING",
"state": "NM",
"postal_code": "880307038",
"telephone_number": "575-544-9008",
"fax_number": "575-544-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 THOMAS JOHNSON DR STE 3",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024879",
"telephone_number": "240-422-8433",
"fax_number": "301-662-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMBRISH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007752",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50775",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.