1851997977 NPI number — RASHMI PATEL PHARMACIST

Table of content: RASHMI PATEL PHARMACIST (NPI 1851997977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851997977 NPI number — RASHMI PATEL PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
RASHMI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMACIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PATEL-GUPTA
Provider Other First Name:
RASHMI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1851997977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
366 CHESTNUT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01887-3314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-315-3219
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1735 MASS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02420-5306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-862-4080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PH24606 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PH24606 . This is a "LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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