DR. PRATIK PATEL (NPI# 1518246362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518246362 |
| Entity Type | Individual |
| Full Name | DR. PRATIK PATEL |
| Credential | PHARM.D. |
| Practice Address |
21431 Grand River Ave Detroit MI 48219-3801 |
| Practice Telephone | 3137787710 |
| Mailing Telephone | 3137787710 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2015-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302036484 | MI | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302036484 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331596 | Pratik K Patel | Pharmacist | 3701 J Street, Sacramento, CA 95835 | 2018-10-05 |
| 1770934440 | Pratik Sureshbhai Patel | Dentist | 1030 Freeland Dr, Suite 104, Salisbury, NC 28144-5175 | 2016-06-23 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1841626488 | Pratik D Patel | Pharmacist | 423 Village Green Blvd, Hillsdale, MI 49242-5049 | 2013-09-14 |
| 1689012932 | Pratik Shashikant Patel | Emergency Medicine | 1329 Sw 16th St Ste 1210, Box 100371, Gainesville, FL 32610-0186 | 2013-06-10 |
| 1114360831 | Pratik A Patel | Internal Medicine | 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8559 | 2013-04-11 |
| 1508103607 | Pratik Patel | Pharmacist | 65 Canterbury Ct, Piscataway, NJ 08854-6209 | 2013-01-09 |
| 1326363649 | Pratik P Patel | Pharmacist | 18731 Chopin Dr, Lutz, FL 33558-2875 | 2010-03-30 |
| 1104082445 | Pratik Patel | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321-2907 | 2008-08-06 |
| 1851397574 | Pratik Patel | Internal Medicine | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2005-06-27 |
| Street Address |
21431 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033253794 | Children's Ambulatory Services, LLC | Clinic/Center | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2007-02-16 |
| 1093369001 | Tony Tayar | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2019-07-29 |
| 1295283778 | Justin R Super | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2016-09-14 |
| 1447627765 | Indrit Agalliu | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2015-08-24 |
| 1275929507 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619122157 | Dennis Veal | Pharmacist | 7900 Kercheval, Detroit, MI 48214-2968 | 2008-11-25 |
| 1073715397 | Kenyetta Nicole Nesbitt | Pharmacist | 259 Mack Ave, Eacphs Suite 2190, Detroit, MI 48201-2427 | 2007-05-31 |
| 1124168513 | Sav Mart Pharmacy | Pharmacist | 7011 Gratiot Ave, Sav-mart Pharmacy, Detroit, MI 48207-1973 | 2007-02-07 |
| 1821192287 | Carole S Adams | Pharmacist | John R St, John D Dingell Va Pharmacy Dept 118 Cp, Detroit, MI 48201 | 2006-09-07 |
| 1508977885 | Matthew Thomas Mroozian | Pharmacist | 4646 John R St # 118-cp, Detroit, MI 48201-1916 | 2006-08-31 |
| 1619959707 | Candice Garwood | Pharmacist | 3990 John R St, Department of Pharmacy, Detroit, MI 48201-2018 | 2005-11-15 |
| 1093369001 | Tony Tayar | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2019-07-29 |
| 1295283778 | Justin R Super | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2016-09-14 |
| 1023401411 | Jodi Lecuyer | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-03-10 |
| 1992130504 | Nimisha Sulejmani | Pharmacist | 2799 W Grand Blvd, Pharmacy Administration, Detroit, MI 48202-2608 | 2013-09-13 |
| Find all providers in DETROIT | ||||
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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.