SURENDRA PATEL (NPI# 1508213034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508213034 |
| Entity Type | Individual |
| Full Name | SURENDRA PATEL |
| Practice Address |
806 W North Ave Melrose Park IL 60160-1611 |
| Practice Telephone | 7085478735 |
| Practice Fax Number | 7085478513 |
| Mailing Telephone | 7085478735 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051031737 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255735015 | Surendra R Patel | Pharmacist | 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 | 2014-10-22 |
| 1740238682 | Surendra C Patel | Internal Medicine | 2525 Amboy Rd, Staten Island, NY 10306-2258 | 2006-05-04 |
| 1346203973 | Surendra Motibhai Patel | Internal Medicine | 5680 N Fresno St, Suite 101, Fresno, CA 93710-8331 | 2006-04-06 |
| 1013907070 | Surendra R. Patel | Dentist | 48 E Kingsbridge Rd, Bronx, NY 10468-7514 | 2005-10-21 |
| 1265748404 | Surendra Patel | Internal Medicine | W180n8085 Town Hall Rd, Internal Medicine Hospitalist Division, Menomonee Falls, WI 53051-3518 | 2010-08-25 |
| Street Address |
806 W NORTH AVE |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346296738 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 806 W North Ave, Melrose Park, IL 60160 | 2006-05-26 |
| 1215541263 | Matthew P Ehrhardt | Pharmacist | 806 W North Ave, Melrose Park, IL 60160-1611 | 2020-09-06 |
| 1881041663 | Erika Vanessa Ruiz | Pharmacist | 806 W North Ave, Melrose Park, IL 60160-1611 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| 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 |
|---|---|---|---|---|
| 1801302070 | Trusha Samip Mistry | Pharmacist | 153 Broadway St, Melrose Park, IL 60160-3702 | 2017-12-23 |
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1932584059 | Vishali Banathia | Pharmacist | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2015-07-30 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1134414519 | Nada K Robel | Pharmacist | 950 Winston Plz, Meijer Pharmacy #263, Melrose Park, IL 60160-1502 | 2011-06-14 |
| 1861719163 | Jordan Albert Ackerman | Pharmacist | 1401 W Cheltenham Ave, Melrose Park, PA 19027-3131 | 2010-04-26 |
| 1487730537 | Simon Kang | Pharmacist | 7320 Old York Rd, Ste 210-211, Melrose Park, PA 19027-2531 | 2006-10-31 |
| 1992815237 | Mayur V Shah | Pharmacist | 106 N 19th Ave, Melrose Park, IL 60160-3755 | 2006-08-30 |
| 1992748156 | Priti Mayur Shah | Pharmacist | 106 Broadway Ave, Melrose Park, IL 60160 | 2006-06-14 |
| 1811930480 | Priti Parekh | Pharmacist | 151 Broadway St, Melrose Park, IL 60160-3702 | 2006-06-13 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on SURENDRA PATEL.
| 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.