Active NPI
Divya D Patel, R.PH
- Pharmacist
- Bloomington, IN
National Provider Identifier
1992301808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021906A
- Practice address
- 600 N Eagelson Ave
Bloomington, IN 47405 - Phone
- (812) 855-3865
- Fax
- (812) 856-7777
- NPI assigned
- Dec 7, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021906A | IN | Primary |
Addresses
Primary practice location
600 N Eagelson Ave
Bloomington, IN 47405
Mailing address
601 W Jocedan CT
Bloomington, IN 47404-9288
Phone (812) 361-9659
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 |
|---|---|---|---|
| 26021906A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1992301808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W JOCEDAN CT",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474049288",
"telephone_number": "812-361-9659",
"fax_number": "812-856-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N EAGELSON AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47405",
"telephone_number": "812-855-3865",
"fax_number": "812-856-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIVYA",
"middle_name": "D",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2022-03-02",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021906A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.