PANKAJKUMAR DAMODAR PATEL (NPI# 1437608668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437608668 |
| Entity Type | Individual |
| Full Name | PANKAJKUMAR DAMODAR PATEL |
| Credential | BSC PHARMACY |
| Practice Address |
200 Technology Ct Se Ste B Smyrna GA 30082-5201 |
| Practice Telephone | 7704378040 |
| Practice Fax Number | 7704378411 |
| Mailing Telephone | 7704378040 |
| Mailing Fax Number | 7704378411 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH017355 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912131491 | Pankajkumar Rameshbhai Patel | Pharmacist | 4365 Newark Cir, Grand Blanc, MI 48439-2510 | 2009-05-12 |
| 1063536910 | Pankajkumar Somabhai Patel | Pharmacist | 28949 Northwestern Hwy, Rite Aid Pharmacy, Southfield, MI 48034-1805 | 2007-03-18 |
| Street Address |
200 TECHNOLOGY CT SE STE B |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629486436 | Vickie Andros | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2014-07-24 |
| 1801345822 | David Carver | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2016-10-03 |
| 1760931919 | Willa Xu Qiang Tornabene | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528628252 | Amy J Campbell | Pharmacist | 133 Bordeaux Ct, Smyrna, TN 37167-4606 | 2019-06-14 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1518483171 | Yvener Charles | Pharmacist | 969 Windy Hill Rd Se Ste A, Smyrna, GA 30080-2025 | 2017-08-16 |
| 1497271282 | Elizabeth Lai | Pharmacist | 3253 Polo Run Cir Se, Smyrna, GA 30082-2454 | 2017-08-14 |
| 1043759988 | Roxanne Musharrafeia | Pharmacist | 4003 Saint Jules Way, Smyrna, TN 37167-7562 | 2017-02-13 |
| 1316494420 | Elizabeth Daniel | Pharmacist | 3250 Millwood Trl Se, Smyrna, GA 30080-1602 | 2016-09-07 |
| 1629450606 | Tzu-wei Huang | Pharmacist | 3303 Fieldwood Dr Se, Smyrna, GA 30080-1611 | 2015-06-25 |
| 1629486436 | Vickie Andros | Pharmacist | 200 Technology Ct Se Ste B, Smyrna, GA 30082-5201 | 2014-07-24 |
| 1144568536 | Jacinta E Jackson | Pharmacist | 2148 S Cobb Dr Se, Smyrna, GA 30080-1348 | 2013-01-21 |
| 1710224662 | Brandi Fannon | Pharmacist | 1950 Lake Park Dr Se, Smyrna, GA 30080-7648 | 2013-01-12 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.