DR. KETAN C PATEL (NPI# 1366755589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366755589 |
| Entity Type | Individual |
| Full Name | DR. KETAN C PATEL |
| Credential | PHARMD |
| Practice Address |
467 Salem St Medford MA 02155-3336 |
| Mailing Address |
P.o. Box 690068 Quincy MA 02269 |
| Practice Telephone | 6176539904 |
| Mailing Telephone | 6176539904 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH25938 | MA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PCT0010042 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1316320864 | Ketan Patel | Student in an Organized Health Care Education/Training Program | 1136 N La Palma Park Way, Anaheim, CA 92801-2413 | 2015-07-01 |
| 1265729487 | Ketan Bhulabhai Patel | Pediatrics | 57 Butterwood Ln W, Irvington, NY 10533-2335 | 2011-07-08 |
| 1588837819 | Ketan K Patel | Pharmacist | 3 Indian Ln, Tyngsboro, MD 01879-2806 | 2008-04-08 |
| 1982713137 | Ketan C Patel | Dentist | 6112 Van Buren Blvd, Riverside, CA 92503-8003 | 2006-08-30 |
| 1699721050 | Ketan Kakalbhai Patel | Internal Medicine | 5714 Signal Hill Ct Ste C, Milford, OH 45150-1459 | 2006-05-26 |
| 1255330338 | Ketan Patel | Pharmacist | 12648 Bougainvillea Way, Riverside, CA 92503-7024 | 2005-07-20 |
| 1003814146 | Ketan P Patel | Internal Medicine | 9 Medical Pkwy, Ste 308, Dallas, TX 75234 | 2005-07-12 |
| 1447254131 | Ketan B Patel | Podiatrist | 1720 Honey Creek Commons, Ste B, Conyers, GA 30013-5826 | 2005-06-09 |
| 1245748615 | Ketan Patel | Pharmacist | 911 Highway 321 N, Lenoir City, TN 37771-6425 | 2018-01-18 |
| Street Address |
467 SALEM ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750512430 | Richard L Anderson | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2009-07-29 |
| 1518483866 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 467 Salem St, Medford, MA 02155-3336 | 2017-08-18 |
| 1013432350 | Taylor Ann Yeakey | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2017-08-08 |
| 1487198537 | April Huynh | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2016-12-08 |
| 1598174393 | Thang C Le | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2014-08-05 |
| 1285068437 | April P Parker | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2013-08-23 |
| 1417275579 | Nhi Thi Tran | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2010-05-13 |
| 1366760746 | Nancy C Ganley | Pharmacist | 467 Salem St, Medford, MA 02155-3336 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
| 1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| 1649504507 | Drilon Saliu | Pharmacist | 75 Station Lndg, Medford, MA 02155-5127 | 2009-09-25 |
| 1679174080 | Tiffany Chau | Pharmacist | 981 Medford Ctr, Medford, OR 97504-6700 | 2020-11-03 |
| 1477162691 | Julian Thomas Sonnenburg | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2020-07-23 |
| 1386283166 | Ruthie Nguyen | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-12-27 |
| 1861034621 | Mark Vance | Pharmacist | 70 Bower Dr, Medford, OR 97501-3689 | 2019-10-14 |
| 1063061554 | Brandee Harris | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-06 |
| 1437631819 | Khabiba Abduganieva | Pharmacist | 1580 Route 112, Medford, NY 11763-3655 | 2018-09-03 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on DR. KETAN C 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.