KETAN PRAVINBHAI PATEL (NPI# 1861869604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861869604 |
| Entity Type | Individual |
| Full Name | KETAN PRAVINBHAI PATEL |
| Credential | PHARM.D. |
| Practice Address |
1401 Johnson Ferry Rd Marietta GA 30062-6495 |
| Mailing Address |
121 Settlers Point Dr Guyton GA 31312-6596 |
| Practice Telephone | 7702400006 |
| Mailing Telephone | 8434152032 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH028799 | GA | 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 |
1401 JOHNSON FERRY RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134143910 | Thomas L Haltom | Emergency Medicine | 1401 Johnson Ferry Rd, Suite 390, Marietta, GA 30062-6495 | 2006-07-26 |
| 1144771189 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2016-10-14 |
| 1922352137 | Elizabeth Mccord | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2012-11-09 |
| 1104196740 | Boma Agboh-stroude | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2012-01-11 |
| 1649565789 | Mary Anne T Hawkins | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2011-06-16 |
| 1396913711 | Jose Goncalves, Od | Optometrist | 1401 Johnson Ferry Rd, Ste 148 B, Marietta, GA 30062-6495 | 2008-02-19 |
| 1952579435 | Marietta Vision Care, Inc. | Optometrist | 1401 Johnson Ferry Rd, Ste 148 B, Marietta, GA 30062-6495 | 2008-02-18 |
| 1013101195 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2007-08-30 |
| 1902937725 | Maximum Motion | Physical Therapist | 1401 Johnson Ferry Rd, Suite 380, Marietta, GA 30062-6495 | 2007-03-07 |
| 1558492280 | Rebecca A Scannaliato | Physical Therapist | 1401 Johnson Ferry Rd, Suite 380, Marietta, GA 30062-6495 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1053947226 | Chettana Sanasith | Pharmacist | 1979 Carithers Way, Marietta, GA 30064-6012 | 2020-03-19 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1659837086 | Charnisha Thomas | Pharmacist | 3024 Hidden Forest Ct Unit 5203, Marietta, GA 30066-3155 | 2019-02-11 |
| 1356819502 | Kineta Naidu | Pharmacist | 1040 Brockton Close, Marietta, GA 30068-4924 | 2018-11-06 |
| 1285114843 | Jorg Richard Largent Jr. | Pharmacist | 1761 Chanson Pl, Marietta, GA 30062-2169 | 2018-08-14 |
| 1124506993 | Allison Delancey | Pharmacist | 401 Matthew St Ste 100, Marietta, OH 45750-1635 | 2018-08-02 |
| 1003320326 | Jerrica Lanise Dodd | Pharmacist | 2499 Red Barn Rd Sw, Marietta, GA 30064-4905 | 2017-11-22 |
| Find all providers in MARIETTA | ||||
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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.